# POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Malden Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801839147
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 806 N DOUGLASS ST, MALDEN, MO 63863-1512
- **Practice address phone:** (573) 276-3873
- **Mailing address:** 806 N DOUGLASS ST, MALDEN, MO 63863-1512
- **Mailing address phone:** (573) 276-3873
- **Mailing address fax:** (573) 276-2625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 04/20/2021