SOUTHEAST MISSOURI HEALTH NETWORK


Address: 421 Semo Dr, New Madrid, MO 63869-1733
Phone: 5737482592

SOUTHEAST MISSOURI HEALTH NETWORK (NPI# 1609095975) 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) 1609095975
Entity Type Organization
Organization Name SOUTHEAST MISSOURI HEALTH NETWORK
Other Organization Name NEW MADRID MEDICAL CENTER
Practice Address 421 Semo Dr
New Madrid
MO 63869-1733
Mailing Address 6738 State Highway 77
Benton
MO 63736-8238
Practice Telephone 5737482592
Practice Fax Number 5737482673
Mailing Telephone 5733132500
Mailing Fax Number 5733132505
Enumeration Date 2007-04-25
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 500704010 05

Other Provider/Organization Names

Other Name Type Code
new madrid family clinic Doing Business As Name - Organization
New Madrid Medical Center Other Name - Individual/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
1932108974 Southeast Missouri Health Network Clinic/Center 6738 State Highway 77, Benton, MO 63736-8238 2005-07-20
1770129199 Southeast Missouri Health Network Clinic/Center 200 Pine St, Sikeston, MO 63801-3258 2019-11-20

Office Location

Street Address 421 SEMO DR
City NEW MADRID
State MO
Zip Code 63869-1733

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750832390 Victoria Robbins Akins Physician Assistant 421 Semo Dr, New Madrid, MO 63869-1733 2016-10-19
1912260597 Nathan Sprengel General Practice 421 Semo Dr, New Madrid, MO 63869-1733 2012-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558924845 Sierra Elaine Holiman Nurse Practitioner 800 Us Hwy 61, New Madrid, MO 63869 2019-04-22
1083143325 Family Matters Home Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 985 Ramsey Lane, New Madrid, MO 63869 2017-06-09
1174849491 Lorenzo Antonio Aquino Tolentino Physical Therapist 1050 Dawson Road, New Madrid, MO 63869 2010-04-12
1043467285 Betty Ann Cagle Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 131 St. Thomas Lane, New Madrid, MO 63869 2008-08-19
1932372646 Pemiscot County Memorial Hospital Clinic/Center 555 Virginia Ave, New Madrid, MO 63869 2008-04-03
1629138425 Timothy P Rausch Dentist 645 Us Hwy 61, New Madrid, MO 63869 2006-12-11
1821628850 Family Matters In Home LLC In Home Supportive Care 415 Main St, New Madrid, MO 63869 2020-01-17
1508314907 Family Matters Cds LLC Home Health 413 Main Street, New Madrid, MO 63869 2016-09-14
1649657495 Trusted Hands Direct LLC In Home Supportive Care 1 Courthouse Square, New Madrid, MO 63869 2015-04-30
1598161739 Trusted Hands In Home Supportive Services In Home Supportive Care 1 Courthouse Square, New Madrid, MO 63869 2014-11-17
Find all providers in zip 63869

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 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 NEW MADRID
Zip Code 63869

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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