SOUTHEAST MISSOURI HEALTH NETWORK


Address: Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830-1417
Phone: 5733599803

SOUTHEAST MISSOURI HEALTH NETWORK (NPI# 1649697566) 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) 1649697566
Entity Type Organization
Organization Name SOUTHEAST MISSOURI HEALTH NETWORK
Other Organization Name CARUTHERSVILLE MEDICAL CENTER
Practice Address Caruthersville Medical Center
109 East 5th Street
Caruthersville
MO 63830-1417
Mailing Address 6738 State Highway 77
Benton
MO 63736-8238
Practice Telephone 5733599803
Practice Fax Number 5733590990
Mailing Telephone 5733132500
Mailing Fax Number 5733132505
Enumeration Date 2014-03-28
Last Update Date 2019-05-22
Authorized Official Name MS. SARAH 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 1649697566 05

Other Provider/Organization Names

Other Name Type Code
Caruthersville Medical Center Doing Business As Name - Organization
hayti medical and dental clinic Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
223 S 3rd St, Hayti, MO 638511617 5733599803 5733590990
Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830 5733599803 5733590990

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
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
1770129199 Southeast Missouri Health Network Clinic/Center 200 Pine St, Sikeston, MO 63801-3258 2019-11-20

Office Location

Street Address CARUTHERSVILLE MEDICAL CENTER
109 EAST 5TH STREET
City CARUTHERSVILLE
State MO
Zip Code 63830-1417

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689216400 Jazmyne S Hall Behavior Technician 915 Highway 84, Caruthersville, MO 63830 2019-10-14
1134573017 Nathan Straeter Pharmacist State Highway 84 West, Caruthersville, MO 63830 2016-04-18
1861805624 Ashley Marie Ballard Case Manager/Care Coordinator 10 & Ward Suite C, Caruthersville, MO 63830 2014-06-09
1356764435 Jena Payne Case Manager/Care Coordinator 10th Ward St, Caruthersville, MO 63830 2014-01-27
1619390705 James Smith Case Manager/Care Coordinator 10th & Ward Suite B, Caruthersville, MO 63830 2014-01-27
1730501370 Belinda Fields Community Health Worker 10th & Ward, C, Caruthersville, MO 63830 2014-01-16
1831387372 T M Swinger & D V Mckillip, Ptr Optometrist 101 E. 10th St., Suite A, Caruthersville, MO 63830 2007-10-10
1437284635 Terrence M Swinger Optometrist 101 E. Tenth St., Suite A, Caruthersville, MO 63830 2007-02-21
1114097581 John D Gardner Dentist 1210 Ward Ave, Caruthersville, MO 63830 2006-11-09
1366512287 Krilurk Chanvitayapongs Pharmacist 2709 South Ward, Caruthersville, MO 63830 2006-11-08
Find all providers in zip 63830

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 CARUTHERSVILLE
Zip Code 63830

Improve Information

Please comment or provide details below to improve the information on SOUTHEAST MISSOURI HEALTH NETWORK.

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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