SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY (NPI# 1942542063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942542063 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY |
| Other Organization Name | SOUTHEASTHEALTH FAMILY MEDICINE OF DONIPHAN |
| Practice Address |
1 Hospital Dr Doniphan MO 63935-1274 |
| Practice Telephone | 5739967148 |
| Mailing Telephone | 5739967148 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | PAULA HARRIS (VICE PRESIDENT REGIONAL OPERATIONS) |
| Authorized Official Telephone | 5736515524 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SoutheastHEALTH Family Medicine of Doniphan | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447236575 | Southeast Health Center of Ripley County | Home Health | 208 N Grand Ave, Doniphan, MO 63935-1768 | 2005-12-20 |
| 1174523948 | Southeast Health Center of Ripley County | General Acute Care Hospital | 109 Plum St, Doniphan, MO 63935 | 2005-07-22 |
| 1881694685 | Southeast Health Center of Ripley County | Clinic/Center | 109 Leroux Drive, Doniphan, MO 63935-1277 | 2005-07-22 |
| 1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
| 1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
| Street Address |
1 HOSPITAL DR |
| City | DONIPHAN |
| State | MO |
| Zip Code | 63935-1274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003871393 | Ida Mccrae | Nurse Practitioner | 1 Hospital Dr, Doniphan, MO 63935-1274 | 2006-04-19 |
| 1366407835 | Richard E Musser Jr. | Family Medicine | 1 Hospital Dr, Doniphan, MO 63935-1274 | 2006-04-19 |
| 1316902901 | George P Samuel | Internal Medicine | 1 Hospital Dr, Doniphan, MO 63935-1274 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235647629 | Reorganized School Dist 4 | Local Education Agency (LEA) | Hcr 7, Box 51, Doniphan, MO 63935 | 2018-01-19 |
| 1144737206 | Amy Jo Harris | Licensed Practical Nurse | 209 W Highway St, Doniphan, MO 63935 | 2018-01-10 |
| 1518470970 | Freds of Doniphan Inc | Pharmacy | 100 H&s Drive, Doniphan, MO 63935 | 2017-11-08 |
| 1053706390 | Amazing In Home Services, LLC | In Home Supportive Care | 106 Lafayette Street, Doniphan, MO 63935 | 2015-04-03 |
| 1447649595 | Keshia J Russell | Speech-Language Pathologist | 1002 Elm Street, Doniphan, MO 63935 | 2015-01-13 |
| 1720327596 | Jessica L Eddington | Physical Therapist | 1015 Grand Street, Doniphan, MO 63935 | 2013-02-13 |
| 1700150927 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit St., Doniphan, MO 63935 | 2012-03-06 |
| 1205107810 | Ripley County Family Resource Center | Community/Behavioral Health | 204 Summit, Doniphan, MO 63935 | 2012-01-13 |
| 1386825248 | Shopko Stores Operating Co LLC | Pharmacy | 111 Leroux Dr, Doniphan, MO 63935 | 2007-11-20 |
| 1104010081 | American Consumer Directed Services, L.L.C. | Clinic/Center | Rr 3, Box 2199, Doniphan, MO 63935 | 2007-09-04 |
| Find all providers in zip 63935 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881694685 | Southeast Health Center of Ripley County | Clinic/Center | 109 Leroux Drive, Doniphan, MO 63935-1277 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.