SOUTHEAST HOSPITAL (NPI# 1811006661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811006661 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HOSPITAL |
| Other Organization Name | SOUTHEAST MISSOURI HOSPITAL ASSOCIATION |
| Practice Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Practice Telephone | 5736515500 |
| Practice Fax Number | 5736515889 |
| Mailing Telephone | 5736515500 |
| Mailing Fax Number | 5736515889 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | KENNETH W BATEMAN (CEO) |
| Authorized Official Telephone | 5736515500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 80-49 | MO | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 010417509 | 05 |
| Other Name | Type Code |
|---|---|
| Southeast Missouri Hospital Association | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942847413 | Southeast Hospital | Pharmacy | 2600 E. Main Street, Suite 113, Jackson, MO 63755 | 2019-12-04 |
| 1982905295 | Southeast Hospital | Pharmacy | 817 S Mount Auburn Rd Ste 130, Cape Girardeau, MO 63703-6392 | 2010-11-03 |
| 1336150846 | Southeast Hospital | Pharmacy | 1723 Broadway Ste 110, Cape Girardeau, MO 63701 | 2006-08-10 |
| 1194907493 | Southeast Hospital | Rehabilitation Unit | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2007-11-29 |
| 1639351935 | Southeast Hospital | Psychiatric Unit | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2007-11-29 |
| 1982788196 | Southeast Hospital | Hospice Care, Community Based | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-10-24 |
| 1790875664 | Southeast Hospital | Home Health | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-10-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | Southeast Hospitality LLC | 2031 Military St S Po Box 1537, Hamilton, AL 35570 |
| North Carolina Corporations | Southeast Hospitality Solutions LLC | 19810 W Catawba Avenue Suite E, Cornelius, NC 28031 |
| Street Address |
1701 LACEY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1154940344 | Jacob Scott Wren | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-04-08 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1467412726 | Saint Francis Medical Center | General Acute Care Hospital | 211 St Francis Drive, Cape Girardeau, MO 63703 | 2006-03-23 |
| 1831636281 | Leona M Bergen | General Acute Care Hospital | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2017-01-24 |
| 1629052063 | Medical Specialists of Southeast Missouri, PC | General Acute Care Hospital | 211 Saint Francis Dr, Attn Infectious Disease Dept, Cape Girardeau, MO 63703-5049 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274256 | St. Lukes Health System | General Acute Care Hospital | 8101 N Lawndale Ave, Unit 2a, Kansas City, MO 64119-7808 | 2017-02-22 |
| 1093265159 | Missouri Delta Medical Center | General Acute Care Hospital | 2856 Vista Ridge Pl, Jackson, MO 63755-8105 | 2016-10-12 |
| 1285082040 | Jessica Teschner | General Acute Care Hospital | 3201 Ballard Mill Dr, Columbia, MO 65203-1875 | 2016-06-01 |
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1225415417 | Parkland Veterinary Services, Inc. | General Acute Care Hospital | 615 E Karsch Blvd, Farmington, MO 63640-1225 | 2015-04-27 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1366796757 | Barnes Jewish Hospital | General Acute Care Hospital | 2180 Splendor Dr, Florissant, MO 63031-2640 | 2012-11-06 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1720355068 | Ipc The Hospitalist Company | General Acute Care Hospital | 12125 Woodcrest Executive Dr Ste 220, Saint Louis, MO 63141-5010 | 2011-11-30 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.