OrganizationActive
Black River Healthcare, Inc.
NPI 1376841064 · Rural Health Clinic/Center · Poplar Bluff, MO
Provider details
- NPI number
- 1376841064
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelly Gresham, Family Nurse Practitioner(573) 727-9793
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1879 N Westwood Blvd
Poplar Bluff, MO 63901-2833
Phone: (573) 727-9793
Fax: (573) 785-1854
Approximate (ZIP-level) locationGet directions
Mailing address
1879 N Westwood Blvd
Poplar Bluff, MO 63901-2833
Registry dates
- Enumerated
- 2011-03-04
- Last updated
- 2011-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.