SOUTHEAST HOSPITAL (NPI# 1336150846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336150846 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HOSPITAL |
| Other Organization Name | SOUTHEAST PHARMACY |
| Practice Address |
1723 Broadway Ste 110 Cape Girardeau MO 63701 |
| Practice Telephone | 5733317900 |
| Practice Fax Number | 5733317909 |
| Mailing Telephone | 5733317900 |
| Mailing Fax Number | 5733317909 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | KENNETH BATEMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 5736515500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
006426 | MO | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 603829300 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 2631996 | 01 |
| Other Name | Type Code |
|---|---|
| SOUTHEAST PHARMACY | Doing Business As 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 |
| 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 |
| 1811006661 | Southeast Hospital | General Acute Care Hospital | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2006-08-29 |
| 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 |
1723 BROADWAY STE 110 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760908636 | Park Pharmacy, LLC | Pharmacy | 37 Doctors Park Ste 2, Cape Girardeau, MO 63703-4903 | 2017-08-22 |
| 1457700627 | Bkm Enterprises Inc | Pharmacy | 1020 N Kingshighway St Ste A, Cape Girardeau, MO 63701-3500 | 2016-06-08 |
| 1609120484 | Cape Pharmacy LLC | Pharmacy | 465 S Mount Auburn Rd Ste 101, Cape Girardeau, MO 63703-4931 | 2012-11-01 |
| 1982905295 | Southeast Hospital | Pharmacy | 817 S Mount Auburn Rd Ste 130, Cape Girardeau, MO 63703-6392 | 2010-11-03 |
| 1518055250 | Saint Francis Medical Center | Pharmacy | 151 S. Mount Auburn Rd, Cape Girardeau, MO 63703-8399 | 2006-10-10 |
| 1104911965 | Saint Francis Medical Center | Pharmacy | 3250 Gordonville Rd, Cape Girardeau, MO 63703 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
Please comment or provide details below to improve the information on SOUTHEAST HOSPITAL.
| 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.