Organization · Type 2 NPI
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) · Benton, MO
NPI number
1528348778
Active
Practice location
6724 Highway 77 E
Benton, MO 63736
Fax (573) 545-4425
Mailing address
420 Semo Dr
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...
Other federally qualified health center (fqhc) providers in Benton
About NPI 1528348778
Southeast Missouri Health Network's National Provider Identifier is 1528348778, issued on Aug 19, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Benton, MO. The record was last updated on Aug 6, 2014.