Organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Active
Parent organization
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Other names
Southeast Primary Care - Broadway
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST MISSOURI HOSPITAL PHYSICIANS LLC
Authorized official
HUBERT KING (VICE PRES CFO)
(573) 334-4822
Entity
Organization
Contact information
Practice address
1723 BROADWAY ST, SUITE 205, CAPE GIRARDEAU, MO 63701-4566
(573) 331-7930
Mailing address
1723 BROADWAY ST, SUITE 205, CAPE GIRARDEAU, MO 63701-4566
(573) 331-7930
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
12/20/2012
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