Southeast Missouri Health Network in New Madrid - Federally Qualified Health Center (fqhc)
Southeast Missouri Health Network - NPI 1134340102
Southeast Missouri Health Network is a Federally Qualified Health Center (fqhc) in New Madrid, 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 1134340102. The last update date is 2014-07-22.
Southeast Missouri Health Network's current location address is 420 Semo Dr, New Madrid, Missouri. You can contact this provider via phone number 5737482404 and fax number 5737488929. The mailing address for Southeast Missouri Health Network is 420 Semo Dr, New Madrid, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri Health Network |
|---|---|
| Address | 420 Semo Dr, New Madrid, Missouri |
| Phone Number | 5737482404 |
| Fax Number | 5737488929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Jones Christopher |
| Telephone Number | 5737482404 |
NPI Number Detail
| NPI Number | 1134340102 |
|---|---|
| Provider Enumeration Date | 2007-05-01 |
| Last Updated Date | 2014-07-22 |
Provider Mailing Address Detail
| Address | 420 Semo Dr |
|---|---|
| City | New Madrid |
| State | Missouri (MO) |
| Post Code | 638691734 |
| Phone Number | 5737482404 |
| Fax Number | 5737488929 |
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 |
|---|---|---|---|
| 500704069 | MO | -- | |
| 1134340102 | MO | NPI |
Post Comment/ Review Below
What is the unique 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) 1134340102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Southeast Missouri Health Network is located?
The Southeast Missouri Health Network is situated at the following address: 420 Semo Dr, New Madrid, MO, 638691734.
What is the area of specialization for Southeast Missouri Health Network, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southeast Missouri Health Network is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of expertise is 261Qf0400X.
When did the Southeast Missouri Health Network receive its 1134340102?
The Southeast Missouri Health Network was issued its 1134340102 on 2007-05-01, which is the date when the organization was assigned this unique identifier.
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 2014-07-22.