# SOUTHEAST HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY HOSPITAL SOUTHEAST
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194907493
- **Authorized official:** KRISTA BERRY (CFO)
- **Authorized official phone:** (573) 331-6028

## Contact information

- **Practice address:** 1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
- **Practice address phone:** (573) 651-5500
- **Mailing address:** 1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
- **Mailing address phone:** (573) 651-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | 80-49 | MO | Yes |

## Other

- **Enumeration date:** 11/29/2007
- **Last updated:** 01/13/2024