NPI 1053659904

Southeasthealth Hospital Holdings, LLC

Organisation Family Medicine Physician Poplar Bluff, MO

Practice location

Address: 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045
Phone: (573) 778-0020
Fax: (573) 776-7548
Mailing address: PO Box 989, Poplar Bluff, MO 63902-0989

Authorised official

Name: Paula E Harris
Title: Vp Regional Operations
Phone: (573) 778-0020

Registered specialties (4)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Missouri →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Missouri →

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Missouri →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

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Registry record

NPI: 1053659904
Entity type: Organization
NPI issued: 28 Jan 2013
Record last updated: 4 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.