PLUNKETT FAMILY CARE CENTER LLC
NPI 1922280189
Clinic/Center - Primary Care in Poplar Bluff, MO

Active since November 29, 2007
2480 THREE RIVERS BLVD, POPLAR BLUFF, MO 63901(573) 686-5564(573) 686-2838 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Plunkett Family Care Center Llc NPPES

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

PLUNKETT FAMILY CARE CENTER LLC (NPI 1922280189) is a healthcare organization registered as a primary care in Poplar Bluff, Missouri and active in the NPI registry since November 2007. The organization lists Kathy A Haas, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1922280189
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePLUNKETT FAMILY CARE CENTER LLC
Location Address2480 THREE RIVERS BLVDPoplar Bluff, MO 63901-2318
Mailing Address2480 Three Rivers BlvdPoplar Bluff, MO 63901-2318 · (573) 686-5564 · Fax (573) 686-2838
Fax(573) 686-2838
Organization SubpartYes
Authorized OfficialKathy A HaasOffice Manager · (573) 686-5564
Enumeration DateNovember 29, 2007
NPI 1922280189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in MO · R3284
Also ListedFamily MedicineTaxonomy 207Q00000X · License R3284 (MO)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 143295 (MO), 089729 (MO)
2480 THREE RIVERS BLVD, Poplar Bluff, MO 63901

Other Identifiers 1

OtherDA1473Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Clinic/Center (Rural Health)
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901
Family Medicine
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901
Physician Assistant
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901
Family Medicine
2480 THREE RIVERS BLVD
POPLAR BLUFF, MO 63901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922280189, enumerated as an "organization" on November 29, 2007.

The provider is located at 2480 THREE RIVERS BLVD POPLAR BLUFF, MO 63901 and the phone number is (573) 686-5564.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.