institution
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) in Benton, Missouri
NPI 1497035661

Southeast Missouri Health Network is a Federally Qualified Health Center (FQHC) based in Benton, MO and is specialized in Federally Qualified Health Center (FQHC). Southeast Missouri Health Network practices in Benton, MO. The NPI Number for Southeast Missouri Health Network is 1497035661 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 6724 State Highway 77, Benton, MO and can be reached out via phone at 573-748-7712 and via fax at 573-545-4425.

Location: 6724 State Highway 77, Benton, MO, 63736-8238
institution
Provider Profile Details
NPI Number
1497035661
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
6724 State Highway 77, Benton, MO, 63736-8238
Phone Number
573-748-7712
Fax Number
573-545-4425
Provider Enumeration Date
08/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
509509303 05 MO
institution
Provider Business Practice Location Address Details
Address
6724 State Highway 77
City
State
Zip
63736-8238
Phone Number
573-748-7712
Fax Number
573-545-4425
person
Provider Business Mailing Address Details
Address
6724 State Highway 77
City
State
Zip
63736-8238
Phone Number
573-748-7712
Fax Number
573-545-4425
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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