# POPLAR BLUFF REGIONAL MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poplar Bluff Regional Medical Center Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962408187
- **Authorized official:** TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
- **Authorized official phone:** (239) 594-7368

## Contact information

- **Practice address:** 621 W PINE ST, POPLAR BLUFF, MO 63901-5042
- **Practice address phone:** (573) 686-8144
- **Practice address fax:** (573) 686-8147
- **Mailing address:** 2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
- **Mailing address phone:** (573) 686-8144
- **Mailing address fax:** (573) 686-8147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 751-1 | MO | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 05/28/2008