institution
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) in New Madrid, Missouri
NPI 1609095975

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 New Madrid, MO. The NPI Number for Southeast Missouri Health Network is 1609095975 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 655 Highway 61, New Madrid, MO and can be reached out via phone at 573-748-2592 and via fax at 573-748-2673.

Location: 655 Highway 61, New Madrid, MO, 63736-8238
institution
Provider Profile Details
NPI Number
1609095975
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
655 Highway 61, New Madrid, MO, 63736-8238
Phone Number
573-748-2592
Fax Number
573-748-2673
Provider Enumeration Date
04/25/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
500704010 05 MO
institution
Provider Business Practice Location Address Details
Address
655 Highway 61
City
State
Zip
63869-1733
Phone Number
573-748-2592
Fax Number
573-748-2673
person
Provider Business Mailing Address Details
Address
655 Highway 61
City
State
Zip
63869-1733
Phone Number
573-748-2592
Fax Number
573-748-2673
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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