Southeasthealth Hospital Holdings, LLC
NPI 1053659904 · Family Medicine Physician · Poplar Bluff, MO
Southeasthealth Hospital Holdings, LLC is a Family Medicine Physician organization in Poplar Bluff, MO (NPI 1053659904).
Provider details
- NPI number
- 1053659904
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paula Harris, Vp Regional Operations(573) 778-0020
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Foot & Ankle Surgery Podiatrist213ES0103X
Podiatric Medicine & Surgery Service Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southeasthealth
Registry dates
- Enumerated
- 2013-01-28
- Last updated
- 2013-03-04
Frequently asked questions
- What is Southeasthealth Hospital Holdings, LLC's NPI number?
- Southeasthealth Hospital Holdings, LLC's National Provider Identifier (NPI) is 1053659904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeasthealth Hospital Holdings, LLC?
- Southeasthealth Hospital Holdings, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southeasthealth Hospital Holdings, LLC located?
- Southeasthealth Hospital Holdings, LLC's practice location on file with NPPES is 2002 Kanell Blvd, Poplar Bluff, MO 63901-4045.
- What is Southeasthealth Hospital Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeasthealth Hospital Holdings, LLC is (573) 778-0020.
- Who is the authorized official for Southeasthealth Hospital Holdings, LLC?
- The authorized official listed on Southeasthealth Hospital Holdings, LLC's NPPES record is Paula Harris, Vp Regional Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeasthealth Hospital Holdings, LLC's NPI active?
- Yes — Southeasthealth Hospital Holdings, LLC's NPI (1053659904) is active in the NPPES registry as of the last update on 2013-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.