| Poplar Bluff Medical Clinic | |
|
2588 N Westwood Blvd Poplar Bluff MO 63901-2535 | |
| (573) 277-8127 | |
| (573) 778-1299 |
| Full Name | Poplar Bluff Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2588 N Westwood Blvd, Poplar Bluff, Missouri |
| Authorized Official Name and Position | Paula Lalor (DIRECTOR/DELEGATED OFFICIAL) |
| Authorized Official Contact | 6292153953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poplar Bluff Medical Clinic 2588 N Westwood Blvd Poplar Bluff MO 63901-2339 Ph: () - | Poplar Bluff Medical Clinic 2588 N Westwood Blvd Poplar Bluff MO 63901-2535 Ph: (573) 277-8127 |
| NPI Number | 1881965267 |
|---|---|
| Provider Enumeration Date | 01/18/2012 |
| Last Update Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6800707225 |
|---|---|
| Medicare Enrollment ID | O20121030000465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881965267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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