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Organization

POPLAR BLUFF REGIONAL MEDICAL CENTER INC

Active
Other names
Poplar Bluff Reg Medical Center Home Health Services
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY PARRY ESQ (SR VP AND GENERAL COUNSEL)
(239) 598-3176
Entity
Organization

Contact information

Practice address
621 W PINE ST, POPLAR BLUFF, MO 63901-5042
(573) 686-5311
Mailing address
621 W PINE ST, POPLAR BLUFF, MO 63901-5042
(573) 686-5311

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7512
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
58042008
MO
01
61
BC BS MO HHA
MO
Enumeration date
06/27/2006
Last updated
12/02/2007
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