Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black River Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1770149304

Black River Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Poplar Bluff, Missouri. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

219 Physicians Park
Poplar Bluff, MO 63901-3956
Phone: (573) 609-2444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1770149304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Prather — Chief Financial Officer · (573) 331-5129
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 20, 2019
Mailing address219 Physicians Park, Poplar Bluff, MO 63901-3956

Other providers in Poplar Bluff