Southeast Missouri Health Network in New Madrid - Federally Qualified Health Center (fqhc)
Southeast Missouri Health Network - NPI 1780803916
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 1780803916. The last update date is 2011-03-07.
Southeast Missouri Health Network's current location address is 311 Main St, 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 311 Main St, New Madrid, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Missouri Health Network |
|---|---|
| Address | 311 Main St, New Madrid, Missouri |
| Phone Number | 5737482404 |
| Fax Number | 5737488929 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | White A Cheryl |
| Telephone Number | 5737482404 |
NPI Number Detail
| NPI Number | 1780803916 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2011-03-07 |
Provider Mailing Address Detail
| Address | 311 Main St |
|---|---|
| City | New Madrid |
| State | Missouri (MO) |
| Post Code | 638691942 |
| 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 |
|---|---|---|---|
| 10626 | MO | GROUP PTAN | |
| 503973901 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Southeast Missouri Health Network by the Centers for Medicare & Medicaid Services?
The Southeast Missouri Health Network has been assigned the NPI (National Provider Identifier) 1780803916 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
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: 311 Main St, New Madrid, MO 638691942.
What is Southeast Missouri Health Network's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southeast Missouri Health Network is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date was the 1780803916 assigned to Southeast Missouri Health Network?
The Southeast Missouri Health Network was issued its 1780803916 on 2007-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Southeast Missouri Health Network most recently updated or revised?
The details related to Southeast Missouri Health Network, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-07.
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