Southeast Health Center of Ripley County

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY

Doing business as

SoutheastHEALTH Family Medicine of Doniphan

Practice address

1 Hospital Dr
Doniphan, MO 63935-1274

Phone

(573) 996-7148

NPI assigned

Mar 27, 2013

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paula Harris

Title

Vice President Regional Operations

Phone

(573) 651-5524

Specialties & licenses 1

Addresses

Other names 1

• SoutheastHEALTH Family Medicine of Doniphan Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southeast Hospital

  dba Mercy Hospital Southeast

  • General Acute Care Hospital
  • Cape Girardeau, MO
  • NPI 1811006661

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1942542063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351274",
            "telephone_number": "573-996-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "city": "DONIPHAN",
            "state": "MO",
            "postal_code": "639351274",
            "telephone_number": "573-996-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "VICE PRESIDENT REGIONAL OPERATIONS",
        "authorized_official_telephone_number": "573-651-5524"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SoutheastHEALTH Family Medicine of Doniphan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Home Health Agency)
• Southeast Health Center of Ripley County (Southeast Health Center of Ripley County Rural Health Clinic)
• Macey Stcin, COTA
• Stellbrook Management, LLC (The Colonial Home)
• Stellbrook Management, LLC (Walnut Street Assisted Living)
• Super D Drugs Acquisition Co. (Medical Center Pharmacy)
• Shelby Anakia Talburt, RDH

• Rural Health Clinic/Center in Doniphan, MO
• Providers in Doniphan, MO by specialty
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.