SOUTHEAST HOSPITAL (NPI# 1982788196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982788196 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HOSPITAL |
| Other Organization Name | SOUTHEAST HOSPICE |
| Practice Address |
10 Doctors Park Cape Girardeau MO 63703-4928 |
| Practice Telephone | 5733356208 |
| Practice Fax Number | 5733348754 |
| Mailing Telephone | 5733356208 |
| Mailing Fax Number | 5733348754 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | MRS. VICKIE SUE SCHNURBUSCH (HOME CARE SERVICES ADMINISTRATOR) |
| Authorized Official Telephone | 5733356208 |
| Authorized Official Credential | MSN, RN, CHPN |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHEAST HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 037-9HO | MO | Agencies |
| Other Name | Type Code |
|---|---|
| Southeast Hospice | 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 |
| 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 |
| 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 |
10 DOCTORS PARK |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63703-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700366218 | Regina Marie Frazier | Family Medicine | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2018-08-15 |
| 1679782668 | Donald E Edwards | Internal Medicine | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2007-05-22 |
| 1790875664 | Southeast Hospital | Home Health | 10 Doctors Park, Cape Girardeau, MO 63703-4928 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
| 1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
| 1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
| 1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
| 1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
| 1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
| 1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
| 1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
| 1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
| 1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
| Find all providers in zip 63703 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184739245 | Crown Hospice Inc | Hospice Care, Community Based | 2858 Professional Ct, Cape Girardeau, MO 63703-5035 | 2006-08-20 |
| 1053723478 | Saint Francis Medical Center | Hospice Care, Community Based | 14 Doctors Park Ste C, Cape Girardeau, MO 63703 | 2014-05-21 |
| 1659796084 | Rief Healthcare LLC | Hospice Care, Community Based | 760 S Kingshighway St, Suite E, Cape Girardeau, MO 63703-7630 | 2014-02-21 |
| 1518160050 | Lutheran Home Hospice | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2007-06-11 |
| 1720195431 | Lutheran Home for The Aged | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-08-25 |
| 1851353338 | Lutheran Home for Th E Aged | Hospice Care, Community Based | 2825 Bloomfield Rd, Cape Girardeau, MO 63703-6335 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558412 | Avimarie Vitality Home Care LLC | Hospice Care, Community Based | 262 Reasor Dr, Saint Louis, MO 63135-1129 | 2020-11-05 |
| 1992312383 | Specialized Hospice | Hospice Care, Community Based | 2311 S Redwood Ave # Ba, Independence, MO 64057-2405 | 2020-09-29 |
| 1477176345 | Community Hospice of The Carolinas, LLC | Hospice Care, Community Based | 10100 N Ambassador Dr Ste 100b, Kansas City, MO 64153-2313 | 2020-05-26 |
| 1073144572 | Vna Corporation | Hospice Care, Community Based | 1500 Meadow Lake Pkwy Ste 100, Kansas City, MO 64114-1620 | 2020-02-03 |
| 1821648684 | Crown Hospice of Poplar Bluff, LLC | Hospice Care, Community Based | 1125 Herschel Bess Blvd Ste 1, Poplar Bluff, MO 63901-3073 | 2019-09-13 |
| 1518514801 | Appl Orchard Hospice of Missouri Inc | Hospice Care, Community Based | 1600 Genessee St Ste 610, Kansas City, MO 64102-1082 | 2019-08-21 |
| 1811549322 | Allegiance Home Health Care LLC | Hospice Care, Community Based | 6439 Plymouth Ave Ste W116, Saint Louis, MO 63133-1905 | 2019-07-15 |
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1720548522 | Deer Valley Hospice Care LLC | Hospice Care, Community Based | 8600 Airport Rd Ste 103, Saint Louis, MO 63134-1937 | 2019-03-20 |
| 1902361504 | Solace Hospice Care LLC | Hospice Care, Community Based | 14010 Manchester Rd, Manchester, MO 63011-4514 | 2019-02-07 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63703 |
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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.