Black River Healthcare, Inc
Black River Healthcare, Inc is a Rural Health Clinic/Center in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2011.
- Licensed in
- MO
- In the registry since
- 2011
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1879 N Westwood BlvdPoplar Bluff, MO 63901-2833
Phone: (573) 727-9793
Fax: (573) 785-1854
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X (MO) |
|---|
Record details
| NPI number | 1376841064 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shelly Gresham — Family Nurse Practitioner · (573) 727-9793 |
| NPI enumerated | March 4, 2011 |
| Last updated in NPPES | July 19, 2011 |
| Mailing address | 1879 N Westwood Blvd, Poplar Bluff, MO 63901-2833 |
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