Southeast Missouri Health Network
NPI #1780803916 in Portageville, Missouri
Provider Information
- NPI Number
- 1780803916
- 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
- Mar 7, 2011
Practice Location
- Address
- 314 E MAIN ST
- City
- Portageville
- State
- Missouri
- ZIP Code
- 63873-1616
- Phone
- (573) 379-5929
Authorized Official
- Name
- CHERYL A WHITE
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (573) 748-2404
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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