Organization · Type 2 NPI

Southeast Missouri Hospital Physicians LLC

Rural Health Clinic/Center · Cape Girardeau, MO

NPI number 1619245503 Active

Practice location

25 Doctors Park
Cape Girardeau, MO 63703-4927

Fax (573) 331-6779

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

6 other providers at this address

Chelsea Nicole Grigery, MDPediatrics Physician Cape Girardeau, MO NPI 1679861785
Jaime Nicole Sanders, MSN, APRN, FNP-CFamily Nurse Practitioner Cape Girardeau, MO NPI 1437913308
Kali D. Francis, MDPediatrics Physician Cape Girardeau, MO NPI 1346534351
Megan Kathleen Reis, DOPediatrics Physician Cape Girardeau, MO NPI 1477787620
Munira M. Rahman-Anwar, DOPediatrics Physician Cape Girardeau, MO NPI 1639597578
Tanya Rodewald, CPNP-PCPediatric Nurse Practitioner Cape Girardeau, MO NPI 1194220244

Other rural health clinic/center providers in Cape Girardeau

See all in Cape Girardeau →

NPI record

NPI: 1619245503
Entity type: Organization (Type 2)
Issued: Dec 6, 2011
Last updated: Jan 13, 2024
Status: Active
Subpart: Yes of Southeast Missouri Hospital Physicians LLC

Other names

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Mercy Southeast Pediatrics · doing business as

Authorized official

Krista Berry
CFO
(573) 331-6028

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619245503

Southeast Missouri Hospital Physicians LLC's National Provider Identifier is 1619245503, issued on Dec 6, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Cape Girardeau, MO. The record was last updated on Jan 13, 2024.