NPI

Black River Community Medical Center

Doing business as Black River Medical Center. NPI 1548546138

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2011-10-26
Last updated
2015-11-18

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Specialties

Licenses

License MO
Number not in the file

Location

Practice location
217 Physicians Park Drive
City
Poplar Bluff MO
Postal code
63901-3956
Phone
(573) 727-9080

Organization contact

Name
Christy Shawan
Title
CEO
Phone
(573) 609-2495

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.

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Nearby

Other NPIs in Poplar Bluff, MO. 1,809 records in the public file.

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