POPLAR BLUFF REGIONAL MEDICAL CENTER (NPI# 1073133237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073133237 |
| Entity Type | Organization |
| Organization Name | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Practice Address |
3100 Oak Grove Rd Poplar Bluff MO 63901-1573 |
| Practice Telephone | 5736865311 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES) |
| Authorized Official Telephone | 6157781502 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Poplar Bluff Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205879426 | Poplar Bluff Regional Medical Center | Pharmacy | 1 Hals Plaza, Piedmont, MO 63957 | 2006-06-14 |
| Street Address |
3100 OAK GROVE RD |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356305684 | Tirso J Aldana | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2006-04-13 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1568946515 | Carol Lee Pratt | Nurse Practitioner | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2018-09-15 |
| 1457842163 | Rachel Matthews | Social Worker | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2018-05-29 |
| 1669995155 | Stacy Lee Taylor | Registered Nurse | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-07-17 |
| 1700314010 | Miranda Krishna | Nurse Practitioner | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-05-31 |
| 1689110611 | Prachi Avinash Pophali | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2017-01-14 |
| 1588118020 | Abhishek Ambarisha Bhandiwad | Internal Medicine | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-08-13 |
| 1982056545 | Butler Physician Services, LLC | Pediatrics | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-07-07 |
| 1720445463 | Theresa Louise Pennington | Nurse Practitioner | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2016-01-26 |
| Find all providers in the same location | ||||
| 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 | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659592111 | Gamma Laboratory | Clinical Medical Laboratory | 1910 Greenwood Dr, Poplar Bluff, MO 63901-2430 | 2007-05-01 |
| 1669522199 | J L Costin, Md, PC | Clinical Medical Laboratory | 3069 N Westwood Blvd, Ste A, Poplar Bluff, MO 63901 | 2007-01-10 |
| 1578712741 | John J Pershing Va Medical Center | Clinical Medical Laboratory | 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318 | 2008-09-12 |
| 1740361690 | Gamma Healthcare Inc | Clinical Medical Laboratory | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2006-10-18 |
| 1912985409 | Kneibert Clinic LLC | Clinical Medical Laboratory | 686 Lester St, Poplar Bluff, MO 63901 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009498 | Polk Medical Testing Solutions LLC | Clinical Medical Laboratory | 3430 Mckelvey Rd Ste L, Bridgeton, MO 63044-2556 | 2020-10-07 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1942825633 | Midwest Innovation Laboratory LLC | Clinical Medical Laboratory | 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 | 2020-06-09 |
| 1588288815 | Mobile Response Diagnostics LLC | Clinical Medical Laboratory | 7739 Folk Ave, Maplewood, MO 63143-1116 | 2020-06-02 |
| 1740801893 | Kbn Diagnostics, LLC | Clinical Medical Laboratory | 11612 Oak St, Kansas City, MO 64114-5623 | 2020-04-29 |
| 1477172062 | David Eric Arnold | Clinical Medical Laboratory | 2309 Time Centre Dr, Saint Charles, MO 63303-2104 | 2020-04-13 |
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
| 1851955934 | Precision Labs LLC | Clinical Medical Laboratory | 12855 N Outer 40 Dr Ste 194, Saint Louis, MO 63141-8622 | 2019-04-24 |
| 1316407265 | Integrity Diagnostics LLC | Clinical Medical Laboratory | 12855 N 40 Dr Ste 345, Saint Louis, MO 63141-8622 | 2019-03-25 |
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| City | POPLAR BLUFF |
| Zip Code | 63901 |
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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.