Black River Community Medical Center
NPI #1548546138 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1548546138
- Entity Type
- Organization
- Organization Name
- Black River Community Medical Center
- Primary Specialty
- General Acute Care Hospital - Rural
- Enumeration Date
- Oct 26, 2011
- Last Updated
- Nov 18, 2015
Practice Location
- Address
- 217 PHYSICIANS PARK DRIVE
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3956
- Phone
- (573) 727-9080
Authorized Official
- Name
- MRS. CHRISTY L SHAWAN
- Title
- CEO
- Phone
- (573) 609-2495
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Rural — Rural |
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