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

Black River Medical Center

Organization Emergency Medicine Physician · NPI 1992127088

Black River Medical Center is an Emergency Medicine Physician in Poplar Bluff, Missouri. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2

Practice location Address checks out

217 Physicians Park
Poplar Bluff, MO 63901-3956
Phone: (573) 727-9080
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1992127088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christy Shawan — Ceo · (866) 916-5259
NPI enumeratedJanuary 9, 2014
Last updated in NPPESJanuary 17, 2014
Mailing address217 Physicians Park, Poplar Bluff, MO 63901-3956

Other providers in Poplar Bluff