Southeast Missouri Health Network

NPI #1457570681 in New Madrid, Missouri

Provider Information

NPI Number
1457570681
Entity Type
Organization
Organization Name
Southeast Missouri Health Network
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Apr 25, 2007
Last Updated
Jul 22, 2014

Practice Location

Address
202B MAIN ST
ZIP Code
63869-1911
Phone
(573) 748-5671

Authorized Official

Name
CHRISTOPHER JONES
Title
CHIEF EXECUTIVE OFFICER
Phone
(573) 748-2404

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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