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POPLAR BLUFF PRIMARY CARE
NPI 1225380108
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since October 03, 2012
2360 KATY LN, POPLAR BLUFF, MO 63901(573) 712-2546(573) 712-2549 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Poplar Bluff Primary Care NPPES

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

POPLAR BLUFF PRIMARY CARE (NPI 1225380108) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since October 2012. The organization lists Paula Lalor, Director/delegated Official, as its authorized official.

NPPES Registry Identity

NPI1225380108
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePOPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
Location Address2360 KATY LNPoplar Bluff, MO 63901-2300
Mailing Address2360 Katy LnPoplar Bluff, MO 63901-2300 · (573) 712-2546 · Fax (573) 712-2549
Phone(573) 712-2546
Fax(573) 712-2549
Organization SubpartNo
Authorized OfficialPaula LalorDirector/delegated Official · (629) 215-3953
Enumeration DateOctober 3, 2012
Last NPPES UpdateApril 29, 2021
NPPES CertifiedApril 29, 2021
✔ NPI 1225380108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2360 KATY LN, Poplar Bluff, MO 63901
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Other Names 1

Doing Business AsPoplar Bluff Primary Care

Other Identifiers 1

Other268685MO · Medicare Oscar

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.

STACY LEE EDGAR FNP-C
Nurse Practitioner (Family)
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (573) 712-2546
GENE FIORETTI M.D.
Internal Medicine (Interventional Cardiology)
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (573) 686-3937
DAVID WILLIAM WOOD DO
Family Medicine
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (573) 712-2546
CHERYL RODERY FNP
Nurse Practitioner (Family)
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (870) 324-1166
GIRISH R BHATT MD
Surgery (Vascular Surgery)
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (573) 785-0080
POPLAR BLUFF REGIONAL MEDICAL CENTER, LLC
Family Medicine
2360 KATY LN
POPLAR BLUFF, MO 63901
Butler County (573) 712-2546

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 1225380108. It was assigned to this organization in the NPPES registry on October 3, 2012. The provider is doing business as Poplar Bluff Primary Care.

Where is Poplar Bluff Regional Medical Center, LLC located?

Poplar Bluff Regional Medical Center, LLC is located at 2360 Katy Ln, Poplar Bluff, MO 63901. The listed phone number is (573) 712-2546.

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.