Emergency Medicine
BLACK RIVER MEDICAL CENTER
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1992127088 · enumerated 2014-01-09 · record updated 2014-01-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: CHRISTY SHAWAN, CEO · (866) 916-5259
Addresses and phones
- Practice location 217 PHYSICIANS PARK, POPLAR BLUFF, MO, 63901-3956 (573) 727-9080 Google Maps Apple Maps OpenStreetMap
- Mailing address 217 PHYSICIANS PARK, POPLAR BLUFF, MO, 63901-3956 (573) 727-9080 Google Maps Apple Maps OpenStreetMap
Specialties
- Hospitalist 208M00000X
- Emergency Medicine 207P00000X · Primary
In this directory
Locations and evidence
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Practice location
POPLAR BLUFF, MO, 639013956
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.