NPI
Black River Healthcare, Inc.
NPI 1376841064
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2011-03-04
- Last updated
- 2011-07-19
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Specialties
Licenses
- License MO
- Number not in the file
Location
- Practice location
- 1879 N Westwood Blvd
- City
- Poplar Bluff MO
- Postal code
- 63901-2833
- Phone
- (573) 727-9793
Organization contact
- Name
- Shelly Gresham
- Title
- Family Nurse Practitioner
- Phone
- (573) 727-9793
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Poplar Bluff, MO. 1,809 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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