institution
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) in Malden, Missouri
NPI 1720209794

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 Malden, MO. The NPI Number for Southeast Missouri Health Network is 1720209794 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 700 N Douglass St, Malden, MO and can be reached out via phone at 573-748-7701 and via fax at 573-748-2554.

Location: 700 N Douglass St, Malden, MO, 63869-1734
institution
Provider Profile Details
NPI Number
1720209794
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
700 N Douglass St, Malden, MO, 63869-1734
Phone Number
573-748-7701
Fax Number
573-748-2554
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
500704028 05 MO
000010626 01 MO GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
700 N Douglass St
City
State
Zip
63863-1510
Phone Number
573-748-7701
Fax Number
573-748-2554
person
Provider Business Mailing Address Details
Address
700 N Douglass St
City
State
Zip
63863-1510
Phone Number
573-748-7701
Fax Number
573-748-2554
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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