Organization
BLACK RIVER COMMUNITY MEDICAL CENTER
Active
Other names
Black River Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY L SHAWAN (CEO)
(573) 609-2495
Entity
Organization
Contact information
Practice address
217 PHYSICIANS PARK DRIVE, POPLAR BLUFF, MO 63901-3956
(573) 727-9080
(573) 778-0265
Mailing address
217 PHYSICIANS PARK DRIVE, POPLAR BLUFF, MO 63901-3956
(573) 727-9080
(573) 778-0265
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
—
MO
Other
Enumeration date
10/26/2011
Last updated
11/18/2015
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