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Black River Medical Center

Emergency Medicine Physician in Poplar Bluff, MO · enumerated 2014 · authorized official Christy Shawan, Ceo.

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

National Provider Identifier

1992127088

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Registry record

Entity type Organization (Type 2)
Legal business name Black River Medical Center
Practice address 217 Physicians Park, Poplar Bluff, MO, 63901
Enumeration date Jan 9, 2014
Last updated in NPPES Jan 17, 2014

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Primary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Christy Shawan
Title Ceo

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Black River Medical Center?
Black River Medical Center is registered in NPPES as a Emergency Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-17.