POPLAR BLUFF REGIONAL MEDICAL CENTER LLC NPI 1760898787

NPI Information

  • NPI: 1760898787
  • Provider Name: POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: POPLAR BLUFF MEDICAL CLINIC
  • CLIA Number: 26D2013882
  • Address: 2588 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 778-1277

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NPI Details

POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC is a family medicine in Poplar Bluff, MO. The provider is 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. POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC NPI is 1760898787. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Poplar Bluff Medical Clinic.

The provider's business location address is:

2588 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-339
Phone: (573) 778-1277
Fax: (573) 778-1299

The provider's authorized official is James P Wright .
The authorized official title is Sr.director and has the following contact phone number (615) 465-7587.

The CLIA number assigned to this NPI record is 26D2013882 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2014 and was last updated on 7/29/2014.

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
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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