Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER INC
Active
Other names
Poplar Bluff Regional Medical Center Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PARRY ESQ (SR. VP AND GENERAL COUNSEL)
(239) 594-7368
Entity
Organization
Contact information
Practice address
621 W PINE ST, POPLAR BLUFF, MO 63901-5042
(573) 686-8144
(573) 686-8147
Mailing address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 686-8144
(573) 686-8147
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
751-1
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580420008
—
MO
Enumeration date
06/22/2005
Last updated
05/28/2008
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