Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Other names
Dexter Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
610 N ONE MILE RD, DEXTER, MO 63841-2539
(573) 624-3600
Mailing address
610 N ONE MILE RD, DEXTER, MO 63841-2539
(573) 624-3600
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
597857903
—
MO
Enumeration date
06/18/2006
Last updated
04/20/2021
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