SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC - NPI 1700350543

Q: What is Southeast Missouri Hospital Physicians, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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About Southeast Missouri Hospital Physicians, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC (NPI 1700350543), doing business as Southeast Primary Care, is a healthcare organization registered as a rural health in Perryville, Missouri and active in the NPI registry since January 2019. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1700350543

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSOUTHEAST MISSOURI HOSPITAL PHYSICIANS, LLC

Location Address624 OLD SAINT MARYS RDPerryville, MO 63775-1837

Mailing Address1701 Lacey StCape Girardeau, MO 63701-5230

Phone(573) 547-3232

Fax(573) 547-3231

Organization SubpartNo

Authorized OfficialKrista BerryCfo · (573) 331-6028

Enumeration DateJanuary 15, 2019

✔ NPI 1700350543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

624 OLD SAINT MARYS RD, Perryville, MO 63775

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Other Names 1

Doing Business AsSoutheast Primary Care

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROFESSIONAL CLINICS LLC

Clinic/Center