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Southeasthealth Hospital Holdings, LLC

Family Medicine Physician in Poplar Bluff, MO · enumerated 2013 · authorized official Paula Harris, Vp Regional Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053659904

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Southeasthealth Hospital Holdings, LLC
Other name <Unavail>
Practice address 2002 Kanell Blvd, Poplar Bluff, MO, 63901
Fax (573) 776-7548
Enumeration date Jan 28, 2013
Last updated in NPPES Mar 4, 2013

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Paula Harris
Title Vp Regional Operations

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Southeasthealth Hospital Holdings, LLC?
Southeasthealth Hospital Holdings, LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-04.