JOHN J PERSHING VA MEDICAL CENTER NPI 1285019844

NPI Information

  • NPI: 1285019844
  • Provider Name: JOHN J PERSHING VA MEDICAL CENTER
  • Classification: Social Worker - 104100000X
  • Entity Type: Organization
  • CLIA Number: 26D0987314
  • Address: 1500 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 778-4293

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NPI Details

JOHN J PERSHING VA MEDICAL CENTER is a social worker in Poplar Bluff, MO. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. JOHN J PERSHING VA MEDICAL CENTER NPI is 1285019844. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1500 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-318
Phone: (573) 778-4293

The provider's authorized official is John Pursell .
The authorized official title is Hr and has the following contact phone number (573) 778-4293.

The CLIA number assigned to this NPI record is 26D0987314 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/24/2015 and was last updated on 7/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial Worker2015024014MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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