Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Active
Other names
Caruthersville Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH DEANE (CHIEF FINANCIAL OFFICER)
(573) 313-2500
Entity
Organization
Contact information
Practice address
CARUTHERSVILLE MEDICAL CENTER, 109 EAST 5TH STREET, CARUTHERSVILLE, MO 63830-1417
(573) 359-9803
(573) 359-0990
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
—
1649697566
—
MO
Enumeration date
03/28/2014
Last updated
05/22/2019
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