1. Home
  2. Directory
  3. Missouri
  4. Poplar Bluff
  5. Clinic Center
  6. NPI Profile

BLACK RIVER HEALTHCARE, INC.
NPI 1376841064
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since March 04, 2011
1879 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 727-9793(573) 785-1854 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black River Healthcare, Inc. NPPES

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

BLACK RIVER HEALTHCARE, INC. (NPI 1376841064) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since March 2011. The organization lists Shelly Yvonne Gresham, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1376841064
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBLACK RIVER HEALTHCARE, INC.
Location Address1879 N WESTWOOD BLVDPoplar Bluff, MO 63901-2833
Mailing Address1879 N Westwood BlvdPoplar Bluff, MO 63901-2833 · (573) 727-9793 · Fax (573) 785-1854
Phone(573) 727-9793
Fax(573) 785-1854
Organization SubpartNo
Authorized OfficialShelly Yvonne GreshamFamily Nurse Practitioner · (573) 727-9793
Enumeration DateMarch 4, 2011
Last NPPES UpdateJuly 19, 2011
✔ NPI 1376841064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1879 N WESTWOOD BLVD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

DR. STEPHEN A SEGALL M.D.
Internal Medicine
1879 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 776-6490

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 Black River Healthcare, Inc.'s NPI number?

The NPI number for Black River Healthcare, Inc. is 1376841064. It was assigned to this organization in the NPPES registry on March 4, 2011.

Where is Black River Healthcare, Inc. located?

Black River Healthcare, Inc. is located at 1879 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 727-9793.

What is Black River Healthcare, Inc.'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 Black River Healthcare, Inc. was last updated on July 19, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.