DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHEAST MISSOURI HEALTH NETWORK

MEDICARE: SOUTHEAST MISSOURI HEALTH NETWORK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1790531119
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHEAST MISSOURI HEALTH NETWORK
Provider Business Mailing Address
First Line : 6738 STATE HIGHWAY 77
Second Line :
City : BENTON
State : MO
Zip : 63736-8238
Country : US
Telephone Number : 573-313-2500
Fax Number : 573-313-2505
Provider Business Practice Location Address
First Line : 310 US HIGHWAY 61
Second Line :
City : NEW MADRID
State : MO
Zip : 63869-9753
Country : US
Telephone Number : 573-688-2165
Fax Number : 573-313-2505
Authorized Official
Title or Position : CFO
Name : SARA DEANE
Credential :
Telephone Number : 573-313-2500
Provider Enumeration Date : 04/26/2024
Last Update Date : 04/26/2024

Similar Medicare Providers

1316917263 — NEW MADRID COUNTY AMBULANCE DISTRICT
Practice Location Address:
340 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-748-5571
Practice Fax: 573-748-8900
1447383161 — NEW MADRID COUNTY R-1 SCHOOL DISTRICT
Practice Location Address:
310 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-688-2161
Practice Fax: 573-688-2169
1558494153 — ELIZABETH A RILEY
Practice Location Address:
310 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-688-2161
Practice Fax: 573-688-2169
1144353376 — MRS. SHARON K MUSGRAVES
Practice Location Address:
310 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-688-2161
Practice Fax: 573-688-2169
1073639779 — JAMIE LYNN KIMBALL SLP
Practice Location Address:
310 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-688-2161
Practice Fax:
1285913558 — MELISSA NICOLE EDDY-SIDES
Practice Location Address:
310 US HIGHWAY 61
NEW MADRID, MO
63869-9753
Practice Phone: 573-688-2161
Practice Fax: 573-688-2169

Directions to “SOUTHEAST MISSOURI HEALTH NETWORK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.