POPLAR BLUFF REGIONAL MEDICAL CENTER LLC (NPI# 1700831724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700831724 |
Entity Type | Organization |
Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER LLC |
Other Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER |
Practice Address |
3100 Oak Grove Rd. Poplar Bluff MO 63901 |
Mailing Address |
3100 Oak Grove Rd Poplar Bluff MO 63901-1573 |
Practice Telephone | 5736865311 |
Mailing Telephone | 5737122546 |
Enumeration Date | 2006-05-24 |
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 |
---|---|---|---|---|---|
N | 273R00000X | Psychiatric Unit | 4852 | MO | Hospital Units |
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 282N00000X | General Acute Care Hospital | 4852 | MO | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 011602505 | 05 | |
MO | 541602504 | 05 | |
MO | BLUE CROSS | 61 | 01 |
Other Name | Type Code |
---|---|
Poplar Bluff Regional 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 |
1700821212 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2006-06-18 |
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 |
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 |
3100 OAK GROVE RD. |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568670230 | Hershel Mack Machen IIi | General Acute Care Hospital | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2007-05-18 |
1962446054 | Poplar Bluff Regional Medical Center LLC | General Acute Care Hospital | 2620 N Westwood Blvd, Poplar Bluff, MO 63901-3396 | 2006-06-16 |
1073563474 | St. Louis Jc Vamc | General Acute Care Hospital | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2006-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
Find all providers with the same taxonomy |
City | POPLAR BLUFF |
Zip Code | 63901 |
Please comment or provide details below to improve the information on POPLAR BLUFF REGIONAL MEDICAL CENTER LLC.
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.