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John J Pershing Va Medical Center

Clinical Medical Laboratory in Poplar Bluff, MO · enumerated 2008 · authorized official Tracie Eudaley, Lead Medical Technologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578712741

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Registry record

Entity type Organization (Type 2)
Legal business name John J Pershing Va Medical Center
Practice address 1500 N Westwood Blvd, Poplar Bluff, MO, 63901
Fax (573) 778-4153
Enumeration date Sep 12, 2008
Last updated in NPPES Sep 12, 2008

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories · License 176313 (MO) Primary

Authorized official

Name Tracie Eudaley
Title Lead Medical Technologist

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for John J Pershing Va Medical Center?
NPPES lists Tracie Eudaley (Lead Medical Technologist) as the authorized official for this organization.
What is the NPI number for John J Pershing Va Medical Center?
The NPI for John J Pershing Va Medical Center is 1578712741, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-09-12.