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Organization
SOUTHEASTHEALTH HOSPITAL HOLDINGS, LLC
Active
Organization
SOUTHEASTHEALTH HOSPITAL HOLDINGS, LLC
Active
Other names
SOUTHEASTHEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA E HARRIS (VP REGIONAL OPERATIONS)
(573) 778-0020
Entity
Organization
Contact information
Practice address
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-4045
(573) 778-0020
(573) 776-7548
Mailing address
PO BOX 989, POPLAR BLUFF, MO 63902-0989
(573) 778-0020
(573) 776-7548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2013
Last updated
03/04/2013
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