POPLAR BLUFF REGIONAL MEDICAL CENTER LLC (NPI# 1700821212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700821212 |
| Entity Type | Organization |
| Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER LLC |
| Other Organization Name | DEXTER MEDICAL CENTER |
| Practice Address |
610 N One Mile Rd Dexter MO 63841-2539 |
| Practice Telephone | 5736243600 |
| Mailing Telephone | 5736243600 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2018-02-07 |
| Authorized Official Name | PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Telephone | 6159254565 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 597857903 | 05 |
| Other Name | Type Code |
|---|---|
| Dexter Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174550115 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 101 S. Prairie, Bloomfield, MO 63825-0200 | 2006-06-26 |
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| 1275576654 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2006-06-14 |
| 1801839147 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 806 N Douglass St, Malden, MO 63863-1512 | 2006-06-14 |
| 1700831724 | Poplar Bluff Regional Medical Center LLC | Psychiatric Unit | 3100 Oak Grove Rd., Poplar Bluff, MO 63901 | 2006-05-24 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1730330168 | Poplar Bluff Regional Medical Center LLC | Nurse Anesthetist, Certified Registered | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2008-10-03 |
| 1962446054 | Poplar Bluff Regional Medical Center LLC | General Acute Care Hospital | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2006-06-16 |
| Street Address |
610 N ONE MILE RD |
| City | DEXTER |
| State | MO |
| Zip Code | 63841-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669888681 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2014-07-10 |
| 1336404052 | Tonya Mcclain | Nurse Practitioner | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2012-07-09 |
| 1588968606 | Kelly Fields-wilburn | Nurse Practitioner | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2011-01-04 |
| 1043235419 | Neal W Garner | Family Medicine | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2006-07-13 |
| 1447275003 | Teddy C Hatfield | Family Medicine | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225161474 | Roswell Hospital Corporation | Clinic/Center | 116 East 2nd Street, Dexter, NM 88230 | 2007-03-14 |
| 1710923651 | The Lakeside Clinic | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-9775 | 2006-06-21 |
| 1104264068 | Peacehealth | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-9600 | 2013-06-12 |
| 1457660045 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 2025 W Business Us Highway 60, Dexter, MO 63841-2879 | 2010-09-29 |
| 1760704878 | Peacehealth | Clinic/Center | 38843 Dexter Rd, Dexter, OR 97431-0110 | 2010-02-17 |
| 1083848923 | Stoddard County Family Care LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2009-05-06 |
| 1629111729 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 1300 N One Mile Rd, Dexter, MO 63841-1042 | 2007-02-15 |
| 1790828812 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 1200 N One Mile Rd, Dexter, MO 63841-1000 | 2007-02-15 |
| 1710047618 | Southeast Health Center of Stoddard County, LLC | Clinic/Center | 1300 N One Mile Rd, Suite 2, Dexter, MO 63841-1042 | 2006-12-11 |
| 1083633374 | William Newton Memorial Hospital | Clinic/Center | 204 North Main, Dexter, KS 67038 | 2006-07-18 |
| Find all providers in DEXTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.