Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Active
Parent organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Other names
MERCY SOUTHEAST PEDIATRICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
25 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 331-6750
(573) 331-6779
Mailing address
25 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4927
(573) 331-6750
(573) 331-6779
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
01/13/2024
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