Poplar Bluff Pediatric Assoc Ll

LBN: Poplar Bluff Pediatric Assoc Ll
Poplar Bluff Pediatric Assoc Ll is an health care organization with primary practice located at 2210 Barron Rd Suite 120, Poplar Bluff MO 63901-1908. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Poplar Bluff Pediatric Assoc Ll can be contacted via phone (573) 785-2005, or through Moss, Tiffany L via phone (573) 785-2005.

Contact Information

Primary practice address
2210 Barron Rd Suite 120 Poplar Bluff MO 63901-1908
Phone: (573) 785-2005
Fax: (573) 785-9444
Website:
Map and Directions
Authorized official contact:
Name: Moss, Tiffany L
Phone: (573) 785-2005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1275676355
LBN Legal business name Poplar Bluff Pediatric Assoc Ll
DBA Doing business as
Authorized official Moss, Tiffany L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Oct 5th, 2017 - about 9 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.

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