Active NPI
Southeast Health Center of Ripley County
- Home Health Agency
- Doniphan, MO
National Provider Identifier
1447236575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 851-HH
- Legal business name
- SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
- Practice address
- 208 N Grand Ave
Doniphan, MO 63935-1768 - Phone
- (573) 996-2141
- Fax
- (573) 996-4151
- NPI assigned
- Dec 20, 2005
- Organization subpart
- Yes
- Parent organization
- SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula E Harris
- Title
- VP Regional Operations
- Phone
- (573) 778-0020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 851-HH | MO | Primary |
Addresses
Primary practice location
208 N Grand Ave
Doniphan, MO 63935-1768
Mailing address
208 N Grand Ave
Doniphan, MO 63935-1768
Phone (573) 996-2141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133 | Other | MI | BLUE CROSS |
| 580634509 | Medicaid | MI |
Other names 1
- Southeast Health Center of Ripley County Home Health Agency
National Provider Directory
National Provider Directory- Part of
- Southeast Health Center of Ripley County
Locations
208 N Grand Ave
Doniphan, MO 63935
Phone (573) 996-2045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1447236575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351768",
"telephone_number": "573-996-2141",
"fax_number": "573-996-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 N GRAND AVE",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351768",
"telephone_number": "573-996-2141",
"fax_number": "573-996-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY",
"enumeration_date": "2005-12-20",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "VP REGIONAL OPERATIONS",
"authorized_official_telephone_number": "573-778-0020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MO",
"license": "851-HH",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "133",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "580634509",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeast Health Center of Ripley County Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Doniphan, MO
- Shelly Lee Smith
- Loren D Smothers, DC
- Southeast Health Center of Ripley County
- Southeast Health Center of Ripley County
- Southeast Health Center of Ripley County
- Southeast Health Center of Ripley County
- Southeast Health Center of Ripley County
- Macey Stcin, COTA
- Stellbrook Management, LLC
- Stellbrook Management, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.