BLOOMFIELD MEDICAL CLINIC
NPI 1174550115
Clinic/Center - Rural Health in Bloomfield, MO

Active since June 26, 2006
101 S. PRAIRIE, BLOOMFIELD, MO 63825(573) 568-3838 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bloomfield Medical Clinic NPPES

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

BLOOMFIELD MEDICAL CLINIC (NPI 1174550115) is a healthcare organization registered as a rural health in Bloomfield, Missouri and active in the NPI registry since June 2006. The organization lists Paula Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1174550115
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePOPLAR BLUFF REGIONAL MEDICAL CENTER LLC
Location Address101 S. PRAIRIEBloomfield, MO 63825-0200
Mailing AddressPo Box 200, 101 S. PraireBloomfield, MO 63825-0200 · (573) 568-3838
Organization SubpartNo
Authorized OfficialPaula LalorDirector/delegated Official · (629) 215-3953
Enumeration DateJune 26, 2006
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1174550115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
101 S. PRAIRIE, Bloomfield, MO 63825

Other Names 1

Doing Business AsBloomfield Medical Clinic

Other Identifiers 1

Medicaid598557007MO

Other Providers at the Same Location NPPES

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

Family Medicine
101 S. PRAIRIE
BLOOMFIELD, MO 63825

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 Poplar Bluff Regional Medical Center LLC's NPI number?

The NPI number for Poplar Bluff Regional Medical Center LLC is 1174550115. It was assigned to this organization in the NPPES registry on June 26, 2006. The provider is doing business as Bloomfield Medical Clinic.

Where is Poplar Bluff Regional Medical Center LLC located?

Poplar Bluff Regional Medical Center LLC is located at 101 S. Prairie, Bloomfield, MO 63825. The listed phone number is (573) 568-3838.

What is Poplar Bluff Regional Medical Center 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 Poplar Bluff Regional Medical Center LLC was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.