Southeast Missouri Health Network

NPI #1619513215 in Sikeston, Missouri

Provider Information

NPI Number: 1619513215
Entity Type: Organization
Organization Name: Southeast Missouri Health Network
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Nov 19, 2019
Last Updated: Apr 14, 2020

Practice Location

Address: 835 W MURRAY LN
City: Sikeston
State: Missouri
ZIP Code: 63801-4056
Phone: (573) 472-8808

Authorized Official

Name: SARA DEANE, CFO
Title: CHIEF FINANCIAL OFFICER
Phone: (573) 313-2500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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