POPLAR BLUFF REGIONAL MEDICAL CENTER LLC


Address: 3100 Oak Grove Rd., Poplar Bluff, MO 63901
Phone: 5736865311

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MO 011602505 05
MO 541602504 05
MO BLUE CROSS 61 01

Other Provider/Organization Names

Other Name Type Code
Poplar Bluff Regional Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3100 OAK GROVE RD.
City POPLAR BLUFF
State MO
Zip Code 63901

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City POPLAR BLUFF
Zip Code 63901

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Dataset Information

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.

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