Southeast Missouri Health Network in Sikeston - Federally Qualified Health Center (fqhc)
Southeast Missouri Health Network - NPI 1104045475
Southeast Missouri Health Network is a Federally Qualified Health Center (fqhc) in Sikeston, Missouri. Southeast Missouri Health Network practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Southeast Missouri Health Network is 1104045475. The last update date is 2020-04-14.
Southeast Missouri Health Network's current location address is 200 Southland Dr, Sikeston, Missouri. You can contact this provider via phone number 5734721770 and fax number 5734724050. The mailing address for Southeast Missouri Health Network is 200 Southland Dr, Sikeston, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri Health Network |
|---|---|
| Address | 200 Southland Dr, Sikeston, Missouri |
| Phone Number | 5734721770 |
| Fax Number | 5734724050 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Deane Sara |
| Telephone Number | 5733132500 |
NPI Number Detail
| NPI Number | 1104045475 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2020-04-14 |
Provider Mailing Address Detail
| Address | 200 Southland Dr |
|---|---|
| City | Sikeston |
| State | Missouri (MO) |
| Post Code | 638014403 |
| Phone Number | 5734721770 |
| Fax Number | 5734724050 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500704028 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southeast Missouri Health Network by the Centers for Medicare & Medicaid Services?
The Southeast Missouri Health Network has been issued the NPI (National Provider Identifier) 1104045475, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southeast Missouri Health Network is physically located?
The Southeast Missouri Health Network is situated at the following address: 200 Southland Dr, Sikeston, MO 638014403.
What is Southeast Missouri Health Network's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southeast Missouri Health Network's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
When was the Southeast Missouri Health Network's 1104045475 issued?
The Southeast Missouri Health Network's 1104045475 was issued on 2007-04-25.
As of what date was the information pertaining to Southeast Missouri Health Network, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southeast Missouri Health Network, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-14.