BLACK RIVER MEDICAL CENTER
NPI 1548546138
General Acute Care Hospital - Rural in Poplar Bluff, MO

Q: What is Black River Community Medical Center's NPI number?

The NPI number for Black River Community Medical Center is 1548546138. It was assigned to this organization in the NPPES registry on October 26, 2011. The provider is doing business as Black River Medical Center.

Q: What is Black River Community Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Active since October 26, 2011

217 PHYSICIANS PARK DRIVE, POPLAR BLUFF, MO 63901(573) 727-9080(573) 778-0265 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Black River Medical Center NPPES

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

BLACK RIVER MEDICAL CENTER (NPI 1548546138) is a healthcare organization registered as a rural in Poplar Bluff, Missouri and active in the NPI registry since October 2011. The organization lists Christy L Shawan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548546138

Entity TypeOrganization

Primary Taxonomy282NR1301X

Legal Business NameBLACK RIVER COMMUNITY MEDICAL CENTER

Location Address217 PHYSICIANS PARK DRIVEPoplar Bluff, MO 63901-3956

Mailing Address217 Physicians Park DrivePoplar Bluff, MO 63901-3956 · (573) 727-9080 · Fax (573) 778-0265

Phone(573) 727-9080

Fax(573) 778-0265

Organization SubpartNo

Authorized OfficialChristy L ShawanCeo · (573) 609-2495

Enumeration DateOctober 26, 2011

Last NPPES UpdateNovember 18, 2015

✔ NPI 1548546138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals

Taxonomy Code282NR1301X

217 PHYSICIANS PARK DRIVE, Poplar Bluff, MO 63901

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Other Names 1

Doing Business AsBlack River Medical Center

Other Identifiers 1

Medicare OSCAR/certification260227MO

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 Community Medical Center's NPI number?

The NPI number for Black River Community Medical Center is 1548546138. It was assigned to this organization in the NPPES registry on October 26, 2011. The provider is doing business as Black River Medical Center.

Where is Black River Community Medical Center located?

Black River Community Medical Center is located at 217 Physicians Park Drive, Poplar Bluff, MO 63901. The listed phone number is (573) 727-9080.

What is Black River Community Medical Center's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

When was this NPI record last updated?

The NPPES record for Black River Community Medical Center was last updated on November 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.