# POPLAR BLUFF REGIONAL MEDICAL CENTER LLC

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

## Provider details

- **NPI number:** 1962446054
- **Legal business name:** POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
- **Authorized official:** PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
- **Authorized official phone:** (629) 215-3953

## Contact information

- **Practice address:** 2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
- **Practice address phone:** (573) 785-7721
- **Practice address fax:** (573) 776-9086
- **Mailing address:** 3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
- **Mailing address phone:** (573) 785-7721
- **Mailing address fax:** (573) 776-9086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | Yes |
| 282N00000X | General Acute Care Hospital | — | NULL | — |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 04/20/2021