Southeasthealth - Primary Care in Poplar Bluff, MO

Southeasthealth is a primary clinic (Family Medicine) in Poplar Bluff, Missouri. The current practice location for Southeasthealth is 2002 Kanell Blvd, Poplar Bluff, Missouri. For appointments, you can reach them via phone at (573) 778-0020. The mailing address for Southeasthealth is Po Box 989, Poplar Bluff, Missouri and phone number is (573) 778-0020.

Southeasthealth is licensed to practice in * (Not Available) (license number ) and its NPI number is 1053659904. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (573) 778-0020.

Contact Information

Southeasthealth
2002 Kanell Blvd
Poplar Bluff
MO 63901-4045
(573) 778-0020
(573) 776-7548

Primary Care Clinic Profile

Full NameSoutheasthealth
SpecialityFamily Medicine
Location2002 Kanell Blvd, Poplar Bluff, Missouri
Authorized Official Name and PositionPaula E Harris (VP REGIONAL OPERATIONS)
Authorized Official Contact5737780020
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeasthealth
Po Box 989
Poplar Bluff
MO 63902-0989

Ph: (573) 778-0020
Southeasthealth
2002 Kanell Blvd
Poplar Bluff
MO 63901-4045

Ph: (573) 778-0020

NPI Details:

NPI Number1053659904
Provider Enumeration Date01/28/2013
Last Update Date03/04/2013

Medical Identifiers

Medical identifiers for Southeasthealth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053659904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary

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