Organization · Type 2 NPI
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) · Sikeston, MO
NPI number
1104045475
Active
Practice location
200 Southland Dr
Sikeston, MO 63801-4403
Fax (573) 472-4050
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
6 other providers at this address
- Alexandra Tomaszewski, LCSWClinical Social Worker Sikeston, MO NPI 1447798020
- Daniel Domjan, MDFamily Medicine Physician Sikeston, MO NPI 1235119215
- Danielle E. Jansen, FNPFamily Nurse Practitioner Sikeston, MO NPI 1033551429
- Heather Elizabeth Polk, APRNPrimary Care Nurse Practitioner Sikeston, MO NPI 1053973081
- Samantha Anne Duffel, LCSWClinical Social Worker Sikeston, MO NPI 1760173421
- William Bradley, FNPFamily Nurse Practitioner Sikeston, MO NPI 1649375940
Other federally qualified health center (fqhc) providers in Sikeston
- Southeast Missouri Health NetworkFederally Qualified Health Center (FQHC) Sikeston, MO NPI 1134340102
- Southeast Missouri Health NetworkFederally Qualified Health Center (FQHC) Sikeston, MO NPI 1619513215
- Southeast Missouri Health NetworkFederally Qualified Health Center (FQHC) Sikeston, MO NPI 1770129199
About NPI 1104045475
Southeast Missouri Health Network's National Provider Identifier is 1104045475, issued on Apr 25, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sikeston, MO. The record was last updated on Apr 14, 2020.