Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
Active
Other names
Poplar Bluff Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2588 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2535
(573) 277-8127
(573) 778-1299
Mailing address
2588 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2339
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
04/20/2021
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