Organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Active
Parent organization
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Other names
Poplar Bluff Regional Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
POPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
2620 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-3396
(573) 785-7721
(573) 776-9086
Mailing address
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901-1573
(573) 785-7721
(573) 776-9086
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011602505
—
MO
Enumeration date
06/16/2006
Last updated
04/20/2021
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