Organization · Type 2 NPI

Southeast Missouri Health Network

Federally Qualified Health Center (FQHC) · New Madrid, MO

NPI number 1609095975 Active

Practice location

655 Highway 61
New Madrid, MO 63869-1733

Fax (573) 748-2673

Mailing address

6738 State Highway 77
Benton, MO 63736-8238

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1609095975

Southeast Missouri Health Network's National Provider Identifier is 1609095975, 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 Dec 12, 2024.