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Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) in Benton, Missouri
NPI 1528348778

Southeast Missouri Health Network is a Federally Qualified Health Center (FQHC) based in New Madrid, 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 1528348778 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 6724 Highway 77 E, Benton, MO and can be reached out via phone at 573-545-4191 and via fax at 573-545-4425.

Location: 6724 Highway 77 E, Benton, MO, 63869-1734
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528348778
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
6724 Highway 77 E, Benton, MO, 63869-1734
Phone Number
573-545-4191
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
1497035661 05 MO
institution
Provider Business Practice Location Address Details
Address
6724 Highway 77 E
City
Benton
State
Missouri
Zip
63736
Phone Number
573-545-4191
Fax Number
573-545-4425
person
Provider Business Mailing Address Details
Address
6724 Highway 77 E
City
Benton
State
Missouri
Zip
63736
Phone Number
573-545-4191
Fax Number
573-545-4425
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
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