NPI 1548546138
Black River Community Medical Center
Practice location
- Address
- 217 Physicians Park Drive, Poplar Bluff, MO 63901-3956
- Phone
- (573) 727-9080
- Fax
- (573) 778-0265
Authorised official
- Name
- Christy L Shawan
- Title
- Ceo
- Phone
- (573) 609-2495
Registered specialties
Rural Acute Care Hospital
Primary
Registry record
- NPI
- 1548546138
- Entity type
- Organization
- NPI issued
- 26 Oct 2011
- Record last updated
- 18 Nov 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.