Organization Name: | SOUTHEAST HEALTH CENTER OF RIPLEY COUNTY |
NPI Number: | 1942542063 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAULA HARRIS (VICE PRESIDENT REGIONAL OPERATIONS) |
Mailing Address: | 1 Hospital Dr Doniphan |
State: | MO US |
Postal Code: | 639351274 |
Phone Number: | 5739967148 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2013 |
NPI Last Update Date: | 03/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |