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BLACK RIVER MEDICAL CENTER
NPI 1992127088
Emergency Medicine in Poplar Bluff, MO

Active since January 09, 2014
217 PHYSICIANS PARK, POPLAR BLUFF, MO 63901(573) 727-9080 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Black River Medical Center NPPES

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

BLACK RIVER MEDICAL CENTER (NPI 1992127088) is a healthcare organization registered as an emergency medicine in Poplar Bluff, Missouri and active in the NPI registry since January 2014. The organization lists Christy L Shawan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992127088
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameBLACK RIVER MEDICAL CENTER
Location Address217 PHYSICIANS PARKPoplar Bluff, MO 63901-3956
Mailing Address217 Physicians ParkPoplar Bluff, MO 63901-3956 · (573) 727-9080
Phone(573) 727-9080
Organization SubpartNo
Authorized OfficialChristy L ShawanCeo · (866) 916-5259
Enumeration DateJanuary 9, 2014
Last NPPES UpdateJanuary 17, 2014
✔ NPI 1992127088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedHospitalistTaxonomy 208M00000X
217 PHYSICIANS PARK, Poplar Bluff, MO 63901
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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

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

CHAMBERLAIN EMERGENCY GROUP, LLC
Emergency Medicine
217 PHYSICIANS PARK
POPLAR BLUFF, MO 63901
Butler County (573) 727-9080

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 Medical Center's NPI number?

The NPI number for Black River Medical Center is 1992127088. It was assigned to this organization in the NPPES registry on January 9, 2014.

Where is Black River Medical Center located?

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

What is Black River Medical Center's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Black River Medical Center was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.