Poplar Bluff Medical Partners, Llc
LBN: Poplar Bluff Medical Partners, Llc
Poplar Bluff Medical Partners, Llc is an health care organization with primary practice located at 221 Physicians Park , Poplar Bluff MO 63901-3956. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology, Ambulatory Health Care Facilities / Radiology, Mammography. Ambulatory Health Care Facilities / Radiology is the primary health care specialty.
Poplar Bluff Medical Partners, Llc can be contacted via phone (573) 727-9080, or through Burcham, Michael via phone (573) 727-9080.
Contact Information
Primary practice address
221 Physicians Park
Poplar Bluff MO 63901-3956
Phone: (573) 727-9080
Fax: (573) 686-1245
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | NOT REQUIRED | Missouri |
| Ambulatory Health Care Facilities / Radiology | 261QR0200X | NOT REQUIRED | Missouri |
| Ambulatory Health Care Facilities / Radiology, Mammography | 261QR0206X | NOT REQUIRED | Missouri |
Profile Details
| NPI number | 1407845472 |
|---|---|
| LBN Legal business name | Poplar Bluff Medical Partners, Llc |
| DBA Doing business as | |
| Authorized official | Burcham, Michael MBA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | May 27th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407845472 | NPPES |
| Missouri | MEDICAID | 710426909 |
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