Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Active
Parent organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Other names
MERCY SOUTHEAST PRIMARY CARE WEST
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
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
Mailing address
817 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-6383
(573) 519-4500
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
01/13/2024
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