SOUTHEAST PRIMARY CARE - BROADWAY
NPI 1780982215
Clinic/Center - Rural Health in Cape Girardeau, MO

Active since March 08, 2011
1723 BROADWAY ST, SUITE 205, CAPE GIRARDEAU, MO 63701(573) 331-7930 Get Directions Write a Review

NPPES record last updated: December 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Primary Care - Broadway NPPES

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

SOUTHEAST PRIMARY CARE - BROADWAY (NPI 1780982215) is a healthcare organization registered as a rural health in Cape Girardeau, Missouri and active in the NPI registry since March 2011. The organization lists Hubert King, Vice Pres Cfo, as its authorized official.

NPPES Registry Identity

NPI1780982215
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Location Address1723 BROADWAY ST, SUITE 205Cape Girardeau, MO 63701-4566
Mailing Address1723 Broadway St, Suite 205Cape Girardeau, MO 63701-4566 · (573) 331-7930
Organization SubpartYes
Authorized OfficialHubert KingVice Pres Cfo · (573) 334-4822
Enumeration DateMarch 8, 2011
Last NPPES UpdateDecember 20, 2012
NPI 1780982215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1723 BROADWAY ST, Cape Girardeau, MO 63701

Other Names 1

Doing Business AsSoutheast Primary Care - Broadway

Other Identifiers 1

Medicare OSCAR/certification268656MO

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Family)
1723 BROADWAY ST, SUITE 220
CAPE GIRARDEAU, MO 63701
Anesthesiology (Pain Medicine)
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Internal Medicine (Hematology & Oncology)
1723 BROADWAY ST, SUITE 315
CAPE GIRARDEAU, MO 63701
Family Medicine
1723 BROADWAY ST, SUITE 120
CAPE GIRARDEAU, MO 63701
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1723 BROADWAY ST
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Family)
1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701
Nurse Practitioner (Adult Health)
1723 BROADWAY ST, SUITE 310
CAPE GIRARDEAU, MO 63701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Missouri Hospital Physicians LLC's NPI number?

The NPI number for Southeast Missouri Hospital Physicians LLC is 1780982215. It was assigned to this organization in the NPPES registry on March 8, 2011. The provider is doing business as Southeast Primary Care - Broadway.

Where is Southeast Missouri Hospital Physicians LLC located?

Southeast Missouri Hospital Physicians LLC is located at 1723 Broadway St Suite 205, Cape Girardeau, MO 63701. The listed phone number is (573) 331-7930.

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.

When was this NPI record last updated?

The NPPES record for Southeast Missouri Hospital Physicians LLC was last updated on December 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.