SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC


Address: 100 Hwy 21, Ellington, MO 63638-7943
Phone: 5739962141

SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC (NPI# 1356689905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356689905
Entity Type Organization
Organization Name SOUTHEAST HEALTH CENTER OF REYNOLDS COUNTY LLC
Other Organization Name SOUTHEASTHEALTH CENTER OF REYNOLDS COUNTY
Practice Address 100 Hwy 21
Ellington
MO 63638-7943
Mailing Address 109 Plum St
Doniphan
MO 63935-1277
Practice Telephone 5739962141
Practice Fax Number 5739963949
Mailing Telephone 5739962141
Mailing Fax Number 5739963949
Enumeration Date 2013-01-16
Last Update Date 2016-08-19
Authorized Official Name CHERYL BARTON (CEO)
Authorized Official Telephone 5739962141
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282NC0060X General Acute Care Hospital
Specialization: Critical Access
MO Hospitals

Other Provider/Organization Names

Other Name Type Code
SoutheastHEALTH Center of Reynolds County Doing Business As Name - Organization

Office Location

Street Address 100 HWY 21
City ELLINGTON
State MO
Zip Code 63638-7943

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831398858 Linda Lee Potter Counselor 125 A Temple St, Ellington, MO 63638 2007-07-11
1942424254 Iris Fae Ross Counselor 110 N. Second St., Ellington, MO 63638 2007-04-11
1700916400 Southern Reynolds Rii Speech-Language Pathologist One School Street, Ellington, MO 63638 2007-03-06
1467533604 Sherilyn K Clark Registered Nurse 110 S. 2nd St., Ellington, MO 63638 2006-10-17
1770678211 Big Springs Medical Association Clinic/Center 115 Walnut St, Ellington, MO 63638 2006-10-03
1376637728 Jeanie Larue Mcclanahan Dental Assistant 115 Walnut St., Ellington, MO 63638 2006-10-02
1730450156 Tasha Lynn Wisdom Social Worker 315 E Walnut St, Ellington, MO 63638 2012-01-17
1033420039 Meagan Whitley Berry Dental Hygienist 115 Walnut St, Ellington, MO 63638 2010-06-24
1689814329 Healthpro Physical Therapy LLC Clinic/Center 315 East Walnut, Ellington, MO 63638 2009-02-20
1992984173 Dr. Stephen C. Waller, Dds, LLC Dentist 115 Walnut St, Ellington, MO 63638 2007-10-24
Find all providers in zip 63638

Taxonomy Information

Taxonomy Code 282NC0060X
Grouping Hospitals
Classification General Acute Care Hospital
Specialization Critical Access

Taxonomy Definition

Definition to come.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285690644 Advanced Health Care Management Services, LLC General Acute Care Hospital 100 Highway 21 N, Ellington, MO 63638-9409 2006-04-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467789222 Va Medical Center In St.louis General Acute Care Hospital 9830 Eastdell Dr, Saint Louis, MO 63136-1915 2009-11-14
1750512042 Vicky Laurine Simbro General Acute Care Hospital 4505 Cove Rd, Osage Beach, MO 65065-2307 2009-08-04
1710177480 Wisam Hassan Ali Al Badr General Acute Care Hospital 3635 Grand Blvd, Saint Louis, MO 63110-2539 2007-07-30
1619179561 Saint Louis University Medical Center General Acute Care Hospital 1402 S Grand Blvd # M238, Saint Louis, MO 63104-1004 2007-06-04
1962578609 Hermann Area Hospital District General Acute Care Hospital 509 West 18th St, Hermann, MO 65041 2006-11-27
1477648178 Iron County Hospital District General Acute Care Hospital 301 N Highway 21, Pilot Knob, MO 63663-0548 2006-10-04
1023053477 Mercy St. Francis Hospital General Acute Care Hospital 100 West Highway 60, Mountain View, MO 65548 2006-06-19
1912948308 Saint Lukes Hospital of Chillicothe General Acute Care Hospital 2799 N Washington, Chillicothe, MO 64601-2902 2006-06-09
1720039605 Cedar County Memorial Hospital General Acute Care Hospital 1401 S Park St, El Dorado Springs, MO 64744-2037 2006-05-15
1841274057 Saint Luke's Hospital of Trenton General Acute Care Hospital 191 Iowa Blvd, Trenton, MO 64683-8343 2005-12-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City ELLINGTON
Zip Code 63638

Improve Information

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Dataset Information

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.

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