| Southeast Hospital | |
|
1701 Lacey St Cape Girardeau MO 63701-5230 | |
| (573) 651-5500 | |
| Not Available |
| Full Name | Southeast Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1701 Lacey St, Cape Girardeau, Missouri |
| Authorized Official Name and Position | Kenneth W Bateman (CEO) |
| Authorized Official Contact | 5736515500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Hospital 1701 Lacey St Cape Girardeau MO 63701-5230 Ph: (573) 651-5500 | Southeast Hospital 1701 Lacey St Cape Girardeau MO 63701-5230 Ph: (573) 651-5500 |
| NPI Number | 1639351935 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639351935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 80-49 (Missouri) | Primary |
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