Organization · Type 2 NPI
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) · Caruthersville, MO
NPI number
1649697566
Active
Practice location
Caruthersville Medical Center, 109 East 5th Street
Caruthersville, MO 63830-1417
Fax (573) 359-0990
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...
Other federally qualified health center (fqhc) providers in Caruthersville
About NPI 1649697566
Southeast Missouri Health Network's National Provider Identifier is 1649697566, issued on Mar 28, 2014. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Caruthersville, MO. The record was last updated on May 22, 2019.