NPI
Black River Ambulatory Surgery Center, LLC
NPI 1770149304
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2019-05-20
- Last updated
- 2019-05-20
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 219 Physicians Park
- City
- Poplar Bluff MO
- Postal code
- 63901-3956
- Phone
- (573) 609-2444
Organization contact
- Name
- David Prather
- Title
- Chief Financial Officer
- Phone
- (573) 331-5129
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.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.