Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Active
Organization
SOUTHEAST MISSOURI HEALTH NETWORK
Active
Other names
NMCC School Based Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA DEANE (CFO)
(573) 313-2500
Entity
Organization
Contact information
Practice address
310 US HIGHWAY 61, NEW MADRID, MO 63869-9753
(573) 688-2165
(573) 313-2505
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
Enumeration date
04/26/2024
Last updated
04/26/2024
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