Southeast Primary Care - Broadway

LBN: Southeast Missouri Hospital Physicians Llc
Southeast Primary Care - Broadway is an health care organization with primary practice located at 1723 Broadway St Suite 205, Cape Girardeau MO 63701-4566. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southeast Missouri Hospital Physicians Llc can be contacted via phone (573) 331-7930, or through King, Hubert via phone (573) 334-4822.

Contact Information

Primary practice address
1723 Broadway St Suite 205 Cape Girardeau MO 63701-4566
Phone: (573) 331-7930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: King, Hubert
Phone: (573) 334-4822

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1780982215
LBN Legal business name Southeast Missouri Hospital Physicians Llc
DBA Doing business as Southeast Primary Care - Broadway
Authorized official King, Hubert
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 8th, 2011
Last updated Dec 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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