# POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
- **Other names:** Malden Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1841606860
- **Legal business name:** POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
- **Authorized official:** JAMES P WRIGHT (SR. DIRECTOR)
- **Authorized official phone:** (615) 465-7587

## Contact information

- **Practice address:** 806 N DOUGLASS ST, MALDEN, MO 63863-1512
- **Practice address phone:** (573) 276-3873
- **Practice address fax:** (573) 276-2625
- **Mailing address:** PO BOX 689022, FRANKLIN, TN 37068-9022
- **Mailing address phone:** (615) 465-7000
- **Mailing address fax:** (615) 465-3007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2014
- **Last updated:** 07/29/2014
