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Contact Information

SOUTHERN CROSS MEDICAL SERVICES INC
319 S SILVER SPRINGS RD
STE A
CAPE GIRARDEAU, MO63703
 Phone: 573-339-7185
 Fax: 573-339-1079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SOUTHERN CROSS MEDICAL SERVICES INC

NPI Number 1023015468
LBN Legal business name SOUTHERN CROSS MEDICAL SERVICES INC
Authorized official MARY BAUER - (SECRETARY/TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2005
Last updated 06/15/2018 - About 8 years ago
Identifiers
MO License # 000060205
MO Medicaid 506882307
Other 1771 BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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