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MID-SOUTH HEALTH CLINIC LLC
NPI 1073595096
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since November 16, 2005
3100 WARRIOR LN, POPLAR BLUFF, MO 63901(573) 785-0851 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mid-south Health Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID-SOUTH HEALTH CLINIC LLC (NPI 1073595096) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since November 2005. The organization lists Joetta Martin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073595096
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMID-SOUTH HEALTH CLINIC LLC
Location Address3100 WARRIOR LNPoplar Bluff, MO 63901-8686
Mailing Address233 E Center DrAlton, IL 62002-5931 · (618) 465-7717 · Fax (618) 465-7710
Phone(573) 785-0851
Organization SubpartNo
Authorized OfficialJoetta MartinAdministrator · (573) 785-0851
Enumeration DateNovember 16, 2005
Last NPPES UpdateJuly 10, 2008
✔ NPI 1073595096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 031640
3100 WARRIOR LN, Poplar Bluff, MO 63901
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Other Identifiers 2

Medicare ID-Type Unspecified268582
Medicaid598977007MO

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA GAIL CUNNINGHAM
Speech-Language Pathologist
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 429-6173
HELIA HEALTHCARE OF POPLAR BLUFF, LLC
Skilled Nursing Facility
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 785-0851
DAMON DAVIS AHCNS
Clinical Nurse Specialist (Adult Health)
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 727-9311
JERI MCCONNELL BS, CSS
Case Manager/Care Coordinator
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
MORGAN EMFINGER
Physical Therapist
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 785-0851
JULIANNA KUPER
Social Worker
3100 WARRIOR LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid-South Health Clinic LLC's NPI number?

The NPI number for Mid-South Health Clinic LLC is 1073595096. It was assigned to this organization in the NPPES registry on November 16, 2005.

Where is Mid-South Health Clinic LLC located?

Mid-South Health Clinic LLC is located at 3100 Warrior Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 785-0851.

What is Mid-South Health Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Mid-South Health Clinic LLC was last updated on July 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.