POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC (NPI# 1750797775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750797775 |
| Entity Type | Organization |
| Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC |
| Other Organization Name | PUXICO MEDICAL CLINIC |
| Practice Address |
130 E Harbin Ave Puxico MO 63960-9104 |
| Mailing Address |
Po Box 689022 Franklin TN 37068-9022 |
| Practice Telephone | 5732223556 |
| Practice Fax Number | 5732223127 |
| Mailing Telephone | 6154657000 |
| Mailing Fax Number | 6154653007 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | JAMES P WRIGHT (SR. DIRECTOR) |
| Authorized Official Telephone | 6154657587 |
| Is Organization Subpart | Y |
| Parent Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Puxico Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679989693 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 1 Hals Plz, Piedmont, MO 63957-1613 | 2014-07-10 |
| 1023424041 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 101 South Prairie Street, Bloomfield, MO 63825 | 2014-07-10 |
| 1841606860 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 806 N Douglass St, Malden, MO 63863-1512 | 2014-07-10 |
| 1760898787 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 2588 N Westwood Blvd, Poplar Bluff, MO 63901-2339 | 2014-07-10 |
| 1669888681 | Poplar Bluff Regional Medical Center, LLC | Family Medicine | 610 N One Mile Rd, Dexter, MO 63841-2539 | 2014-07-10 |
| 1932515954 | Poplar Bluff Regional Medical Center, LLC | Pediatrics | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2014-07-10 |
| 1225380108 | Poplar Bluff Regional Medical Center, LLC | Clinic/Center | 2360 Katy Ln, Poplar Bluff, MO 63901-2300 | 2012-10-03 |
| 1881965267 | Poplar Bluff Regional Medical Center, LLC | Clinic/Center | 2588 N Westwood Blvd, Poplar Bluff, MO 63901-2535 | 2012-01-18 |
| Street Address |
130 E HARBIN AVE |
| City | PUXICO |
| State | MO |
| Zip Code | 63960-9104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275576654 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2006-06-14 |
| 1235487885 | Holly Nicole Reed | Nurse Practitioner | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2012-08-29 |
| 1497036297 | Kimberly Dawn Te | Nurse Practitioner | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2011-09-07 |
| 1144245523 | Angela L Patterson | Internal Medicine | 130 E Harbin Ave, Puxico, MO 63960-9104 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714350 | Puxico R-viii School District | Local Education Agency (LEA) | 481 North Bedford Street, Puxico, MO 63960 | 2007-05-25 |
| 1992850457 | Sherry Limbaugh | Nurse Practitioner | 130 E. Harbin, Puxico, MO 63960 | 2007-01-24 |
| 1508921180 | J & S Stewart Inc | Nursing Care | 24080 State Hwy 51, Puxico, MO 63960 | 2006-12-26 |
| 1740364850 | Puxico Drugs Inc. | Pharmacy | 190 E. Richardson Ave, Puxico, MO 63960 | 2006-10-25 |
| 1881659126 | Garry Breck Bartmess | Pharmacist | 190 East Richardson Ave, Puxico, MO 63960 | 2006-04-19 |
| 1164883468 | James Dwain Holden | Nurse Anesthetist, Certified Registered | 22888 County Road 283, Puxico, MO 63960-7338 | 2016-03-14 |
| 1669646139 | Tracy Robison | Speech-Language Pathologist | 22290 County Road 267, Puxico, MO 63960-7379 | 2008-04-16 |
| 1932732690 | Mingo Residential Care of Puxico LLC | Custodial Care Facility | 24080 State Highway 51, Puxico, MO 63960-8114 | 2020-02-20 |
| 1326428210 | Sharon Read | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6634 County Road 287b, Puxico, MO 63960-8510 | 2015-06-04 |
| 1679937569 | Ozark Supported Living LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6634 County Road 287b, Puxico, MO 63960-8510 | 2016-04-07 |
| Find all providers in zip 63960 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
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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.