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Organization

SOUTHEAST HOSPITAL

Active
Parent organization
SOUTHEAST HOSPITAL
Other names
MERCY HOSPICE
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOUTHEAST HOSPITAL
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization

Contact information

Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 335-6208
(573) 334-8754
Mailing address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 335-6208
(573) 334-8754

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
037-9HO
MO

Other

Enumeration date
10/24/2006
Last updated
01/13/2024
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