{"npi":"1700831724","type":"NPI-2","status":"active","name":{"display":"Poplar Bluff Regional Medical Center LLC","other":[],"organization_name":"POPLAR BLUFF REGIONAL MEDICAL CENTER LLC","authorised_official":"Paula Lalor"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"273R00000X","description":"Psychiatric Hospital Unit","primary":false,"state":"MO","license":"4852"},{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":false,"state":null,"license":null},{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":"MO","license":"4852"}]},"addresses":[{"purpose":"LOCATION","street_1":"3100 OAK GROVE RD.","city":"POPLAR BLUFF","state":"MO","postal_code":"63901","country_code":"US","phone":"5736865311"},{"purpose":"MAILING","street_1":"3100 OAK GROVE RD","city":"POPLAR BLUFF","state":"MO","postal_code":"639011573","country_code":"US","phone":"5737122546"}],"license":{"state":"MO","number":"4852"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"541602504","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"61","state":"MO","issuer":"BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"011602505","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20030909000031","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"MO","pac_id":"6800707225"}]},"enumeration_date":"2006-05-24","last_updated":"2021-04-20","_meta":{"source":"NPPES","snapshot_date":"2021-04-20","doc_url":"https://findmynpi.com/api"}}