Organization · Type 2 NPI
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) · New Madrid, MO
NPI number
1457570681
Active
Practice location
202B Main St
New Madrid, MO 63869-1911
Fax (573) 748-5317
Mailing address
420 Semo Dr, P.o. Box 400
New Madrid, MO 63869-1734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
Other federally qualified health center (fqhc) providers in New Madrid
About NPI 1457570681
Southeast Missouri Health Network's National Provider Identifier is 1457570681, issued on Apr 25, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in New Madrid, MO. The record was last updated on Jul 22, 2014.