Black River Medical Center
NPI 1992127088ActiveOrganization· Emergency Medicine· Poplar Bluff, MO
Emergency Medicine in Poplar Bluff, Missouri, registered in NPPES in January 2014. The authorized official on file is Christy L. Shawan, Ceo.
Overview
| NPI | 1992127088 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2014 |
| Last updated in NPPES | Jan 17, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | — |
| Hospitalist | 208M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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