Black River Medical Center
NPI #1992127088 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1992127088
- Entity Type
- Organization
- Organization Name
- Black River Medical Center
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jan 9, 2014
- Last Updated
- Jan 17, 2014
Practice Location
- Address
- 217 PHYSICIANS PARK
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3956
- Phone
- (573) 727-9080
Authorized Official
- Name
- CHRISTY L SHAWAN
- Title
- CEO
- Phone
- (866) 916-5259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospitalist |
| Emergency Medicine |
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