Southeast Primary Care – Rural Health Clinic/Center, NPI 1700350543

Southeast Primary Care is a healthcare provider. based in Cape girardeau, Missouri. specializing in Rural Health Clinic/Center. The NPI Number for Southeast Primary Care is 1700350543

Main info

Organization
Name
Southeast Primary Care
NPI
1700350543
Phone
Not provided
Address
1701 LACEY ST
Authorized Official
KRISTA BERRY CFO
Enumeration Date
15 January 2019
Last Update Date
15 January 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:7State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Southeast Primary Care

  • Southeast Hospital, 1701, Lacey Street, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637015230

    Phone:

    Type: Mailing

  • 624, Old Saint Marys Road, Perryville, Perry County, Missouri, 63775, United States

    PERRYVILLE, MO 637751837

    Phone: (573) 547-3232

    Fax: (573) 547-3231

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63701)

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Reviews

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Frequently asked questions

What is the registry number for Southeast Primary Care?
The registry entry for Southeast Primary Care shows NPI 1700350543.
Is Southeast Primary Care's NPI status active today?
Active status means Southeast Primary Care's NPI record is not deactivated in the public file.
What does the directory say Southeast Primary Care does?
Insurance directories may phrase it differently, but here Southeast Primary Care maps to Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Southeast Primary Care?
Southeast Primary Care is associated with Cape Girardeau, Missouri in the same public data insurers reference.
Who maintains Southeast Primary Care's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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