# SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SoutheastHEALTH Family Medicine of Doniphan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942542063
- **Authorized official:** PAULA HARRIS (VICE PRESIDENT REGIONAL OPERATIONS)
- **Authorized official phone:** (573) 651-5524

## Contact information

- **Practice address:** 1 HOSPITAL DR, DONIPHAN, MO 63935-1274
- **Practice address phone:** (573) 996-7148
- **Mailing address:** 1 HOSPITAL DR, DONIPHAN, MO 63935-1274
- **Mailing address phone:** (573) 996-7148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013