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NPI 1194172189ActiveOrganization· Community/Behavioral Health· Poplar Bluff, MO

Community/Behavioral Health in Poplar Bluff, Missouri, registered in NPPES in May 2016. The authorized official on file is Janet Brown, Ceo.

Overview

NPI1194172189
StatusActive
Entity typeOrganization
NPI issuedMay 19, 2016
Last updated in NPPESMay 19, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Community/Behavioral Health Primary251S00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community/Behavioral Health providers in Poplar Bluff

All Community/Behavioral Health providers in Missouri