Organization
SOUTHEAST HOSPITAL
Active
Other names
MERCY HOSPITAL SOUTHEAST
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 651-5500
(573) 651-5889
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 651-5500
(573) 651-5889
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
80-49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010417509
—
MO
Enumeration date
08/29/2006
Last updated
01/13/2024
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