Southeasthealth Hospital Holdings, LLC
NPI 1053659904ActiveOrganization· Family Medicine· Poplar Bluff, MO
Family Medicine in Poplar Bluff, Missouri, registered in NPPES in January 2013. The authorized official on file is Paula E. Harris, Vp Regional Operations.
Overview
| NPI | 1053659904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 28, 2013 |
| Last updated in NPPES | Mar 4, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Podiatrist, Foot & Ankle Surgery | 213ES0103X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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