SOUTHEAST MISSOURI HEALTH NETWORK


Address: 6724 State Highway 77, Benton, MO 63736-8238
Phone: 5737487712

SOUTHEAST MISSOURI HEALTH NETWORK (NPI# 1497035661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497035661
Entity Type Organization
Organization Name SOUTHEAST MISSOURI HEALTH NETWORK
Other Organization Name BENTON MEDICAL CENTER
Practice Address 6724 State Highway 77
Benton
MO 63736-8238
Mailing Address 6738 State Highway 77
Benton
MO 63736-8238
Practice Telephone 5737487712
Practice Fax Number 5735454425
Mailing Telephone 5733132500
Mailing Fax Number 5733132505
Enumeration Date 2011-08-19
Last Update Date 2020-04-14
Authorized Official Name SARA DEANE (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 5733132500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MO 509509303 05

Other Provider/Organization Names

Other Name Type Code
benton dental center Doing Business As Name - Organization
Benton Medical Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619513215 Southeast Missouri Health Network Clinic/Center 835 W Murray Ln, Sikeston, MO 63801-4056 2019-11-19
1790257228 Southeast Missouri Health Network Physician Assistant Kennett Middle School Clinic, 510 College Ave, Kennett, MO 63857-2062 2018-12-21
1679019491 Southeast Missouri Health Network Dentist 111 Prairie Drive, East Prairie, MO 63845 2017-01-18
1649697566 Southeast Missouri Health Network Clinic/Center Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830-1417 2014-03-28
1528348778 Southeast Missouri Health Network Dentist 6724 Highway 77 E, Benton, MO 63736 2011-08-19
1598069247 Southeast Missouri Health Network Dentist 420 Semo Dr, New Madrid, MO 63869-1734 2011-01-10
1194945154 Southeast Missouri Health Network Clinic/Center 741 S Walnut St, Bernie, MO 63822-8900 2007-05-01
1720209794 Southeast Missouri Health Network Clinic/Center 700 N Douglass St, Malden, MO 63863-1510 2007-05-01
1609095975 Southeast Missouri Health Network Clinic/Center 421 Semo Dr, New Madrid, MO 63869-1733 2007-04-25
1932108974 Southeast Missouri Health Network Clinic/Center 6738 State Highway 77, Benton, MO 63736-8238 2005-07-20

Office Location

Street Address 6724 STATE HIGHWAY 77
City BENTON
State MO
Zip Code 63736-8238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699084814 Travis James Weiss Physician Assistant 6724 State Highway 77, Benton, MO 63736-8238 2010-10-05
1992048961 Jessica Pickel Dental Hygienist 6724 State Highway 77, Benton, MO 63736-8238 2013-03-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528348778 Southeast Missouri Health Network Dentist 6724 Highway 77 E, Benton, MO 63736 2011-08-19
1245415389 Comprehensive Family Health Care LLC Family Medicine 142 S Winchester St, Benton, MO 63736-0000 2008-01-08
1427385376 Amber Nicole Thorne Nurse Practitioner 6468 State Highway 77, Benton, MO 63736-8237 2009-11-13
1609230507 Missouri Delta Medical Center Clinic/Center 6468 State Highway 77, Benton, MO 63736-8237 2016-04-07
1902297880 Jaimie Suzanne Cannon Nurse Practitioner 6468 State Highway 77, Benton, MO 63736-8237 2015-02-12
1932108974 Southeast Missouri Health Network Clinic/Center 6738 State Highway 77, Benton, MO 63736-8238 2005-07-20
1366514523 Scott County R-iv School District Physical Therapist 4035 State Highway 77, Benton, MO 63736-9162 2006-11-14
1407489727 Lana Jean Atkins Speech-Language Pathologist 4035 State Highway 77, Benton, MO 63736-9162 2020-02-14
1043686546 A & A In-home Health Care, LLC Home Health 568 County Highway 504, Benton, MO 63736-9193 2015-08-19
1275134264 Stephanie Suzanne Worth Physical Therapy Assistant 135 Meyers Lake Ct, Benton, MO 63736-9201 2020-11-05
Find all providers in zip 63736

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932108974 Southeast Missouri Health Network Clinic/Center 6738 State Highway 77, Benton, MO 63736-8238 2005-07-20
1689168643 Arcare Clinic/Center 630 W South St, Benton, AR 72015-4258 2018-06-21
1619181484 Ocoee Regional Health Corporation Clinic/Center 6784 Highway 411, Benton, TN 37307-4818 2007-05-10
1386857381 Ocoee Regional Health Corporation Clinic/Center 6784 Highway 411, Benton, TN 37307-0308 2007-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952909079 Northwest Health Services Inc Clinic/Center 202 S East St, Albany, MO 64402-1836 2020-10-12
1912505041 Northwest Health Services Inc Clinic/Center 10500 State Route T, Savannah, MO 64485-2456 2020-10-12
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1407478399 Big Springs Medical Association Clinic/Center 2879 James Blvd, Poplar Bluff, MO 63901-3395 2020-05-13
1295356731 Health Care Coalition of Lafayette County Clinic/Center 811 S Business Highway 13, Lexington, MO 64067-1515 2020-05-06
1376164699 East Central Missouri Behavioral Health Services, Inc Clinic/Center 896 S Sturgeon St, Montgomery City, MO 63361-2716 2020-04-27
1750912044 Northwest Health Services, Inc. Clinic/Center 418 E 2nd St, Maryville, MO 64468-1703 2020-01-27
1669003950 Northwest Health Services, Inc. Clinic/Center 525 W South Hills Dr, Maryville, MO 64468-3653 2020-01-27
1063052553 Compass Health, Inc. Clinic/Center 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 2020-01-13
1407490741 Advocates for A Healthy Community Inc Clinic/Center 2238 W Kingsley St, Springfield, MO 65807-5456 2019-10-30
Find all providers with the same taxonomy

Competitor

Search similar providers

City BENTON
Zip Code 63736

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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