Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Active
Other names
New Madrid Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DEANE (CHIEF FINANCIAL OFFICER)
(573) 313-2500
Entity
Organization
Contact information
Practice address
655 HIGHWAY 61, NEW MADRID, MO 63869-1733
(573) 748-2592
(573) 748-2673
Mailing address
6738 STATE HIGHWAY 77, BENTON, MO 63736-8238
(573) 313-2500
(573) 313-2505
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500704010
—
MO
Enumeration date
04/25/2007
Last updated
12/12/2024
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