Black River Medical Center
NPI 1992127088 · Emergency Medicine Physician · Poplar Bluff, MO
Black River Medical Center is a Emergency Medicine Physician organization in Poplar Bluff, MO (NPI 1992127088).
Provider details
- NPI number
- 1992127088
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christy Shawan, Ceo(866) 916-5259
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-09
- Last updated
- 2014-01-17
Frequently asked questions
- What is Black River Medical Center's NPI number?
- Black River Medical Center's National Provider Identifier (NPI) is 1992127088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black River Medical Center?
- Black River Medical Center is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Black River Medical Center located?
- Black River Medical Center's practice location on file with NPPES is 217 Physicians Park, Poplar Bluff, MO 63901-3956.
- What is Black River Medical Center's phone number?
- The practice phone number listed in the NPPES registry for Black River Medical Center is (573) 727-9080.
- Who is the authorized official for Black River Medical Center?
- The authorized official listed on Black River Medical Center's NPPES record is Christy Shawan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black River Medical Center's NPI active?
- Yes — Black River Medical Center's NPI (1992127088) is active in the NPPES registry as of the last update on 2014-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.