Organization · Type 2 NPI

Southeast Health Center of Ripley County

Rural Health Clinic/Center · Doniphan, MO

NPI number 1881694685 Active

Practice location

109 Leroux Drive
Doniphan, MO 63935-1277

Call (573) 996-2136 Map

Fax (573) 996-3105

Mailing address

109 Plum St
Doniphan, MO 63935-1277

Specialties and licenses

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

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

Another provider at this address

Tina Marie Moe, FNPFamily Nurse Practitioner Doniphan, MO NPI 1912157041

Other rural health clinic/center providers in Doniphan

Southeast Health Center of Ripley CountyRural Health Clinic/Center Doniphan, MO NPI 1942542063

See all in Doniphan →

NPI record

NPI: 1881694685
Entity type: Organization (Type 2)
Issued: Jul 22, 2005
Last updated: Jul 31, 2013
Status: Active
Subpart: Yes of Southeast Health Center of Ripley County

Other names

<unavail>
Southeast Health Center of Ripley County Rural Health Clinic · doing business as

Authorized official

Mrs. Kathy Harp
Business Office Supervisor
(573) 996-2141

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 1881694685

Southeast Health Center of Ripley County's National Provider Identifier is 1881694685, issued on Jul 22, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Doniphan, MO. The record was last updated on Jul 31, 2013.