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Contact Information

SOUTHEAST HOSPITAL BASED PHYSICIANS LLC
1701 LACEY ST
CAPE GIRARDEAU, MO63701-5230
 Phone: 573-331-6880
 Fax: 573-331-6887
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SOUTHEAST HOSPITAL BASED PHYSICIANS LLC

NPI Number 1003230129
LBN Legal business name SOUTHEAST HOSPITAL BASED PHYSICIANS LLC
Authorized official HUBERT KING - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/10/2014
Last updated 02/10/2014 - About 12 years ago
Identifiers n/a
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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