Organization · Type 2 NPI
Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) · Benton, MO
NPI number
1932108974
Active
Practice location
6738 State Highway 77
Benton, MO 63736-8238
Fax (573) 313-2505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Agency | 251B00000X | 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 1932108974
Southeast Missouri Health Network's National Provider Identifier is 1932108974, issued on Jul 20, 2005. 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 Sep 24, 2026.