institution
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) in Kennett, Missouri
NPI 1710108766

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 Kennett, MO. The NPI Number for Southeast Missouri Health Network is 1710108766 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 500 Russell St, Kennett, MO and can be reached out via phone at 573-717-1332 and via fax at 573-717-1335.

Location: 500 Russell St, Kennett, MO, 63736-8238
institution
Provider Profile Details
NPI Number
1710108766
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
500 Russell St, Kennett, MO, 63736-8238
Phone Number
573-717-1332
Fax Number
573-717-1335
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500704036 05 MO
institution
Provider Business Practice Location Address Details
Address
500 Russell St
City
State
Zip
63857-2102
Phone Number
573-717-1332
Fax Number
573-717-1335
person
Provider Business Mailing Address Details
Address
500 Russell St
City
State
Zip
63857-2102
Phone Number
573-717-1332
Fax Number
573-717-1335
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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