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Southeast Missouri Health Network
Multi-Specialty Clinic/Center in Sikeston, Missouri
NPI 1770129199

Southeast Missouri Health Network is a Multi-Specialty Clinic/Center based in Benton, MO and is specialized in Multi-Specialty. Southeast Missouri Health Network practices in Sikeston, MO. The NPI Number for Southeast Missouri Health Network is 1770129199 and holds a License No. (Missouri).

The current practice location address for Southeast Missouri Health Network is 200 Pine St, Sikeston, MO and can be reached out via phone at 573-472-8850.

Location: 200 Pine St, Sikeston, MO, 63736-8238
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770129199
Provider Name
Southeast Missouri Health Network
Credential
Provider Entity Type
Organization
Address
200 Pine St, Sikeston, MO, 63736-8238
Phone Number
573-472-8850
Fax Number
Provider Enumeration Date
11/20/2019
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500077980 05 MO
institution
Provider Business Practice Location Address Details
Address
200 Pine St
City
Sikeston
State
Missouri
Zip
63801-3258
Phone Number
573-472-8850
Fax Number
person
Provider Business Mailing Address Details
Address
200 Pine St
City
Sikeston
State
Missouri
Zip
63801-3258
Phone Number
573-472-8850
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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