OrganizationActive
Black River Community Medical Center
NPI 1548546138 · Rural Acute Care Hospital · Poplar Bluff, MO
Provider details
- NPI number
- 1548546138
- Entity type
- Organization
- Primary specialty
- Rural Acute Care HospitalHospitals
- Authorized official
- Christy Shawan, Ceo
Practice location
217 Physicians Park Drive
Poplar Bluff, MO 63901-3956
Phone: (573) 727-9080
Fax: (573) 778-0265
Mailing address
217 Physicians Park Drive
Poplar Bluff, MO 63901-3956
Registry dates
- Enumerated
- 2011-10-26
- Last updated
- 2015-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.