| Southeast Missouri Health Network | |
|
Caruthersville Medical Center 109 East 5th Street Caruthersville MO 63830-1417 | |
| (573) 359-9803 | |
| (573) 359-0990 |
| Full Name | Southeast Missouri Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | Caruthersville Medical Center, Caruthersville, Missouri |
| Authorized Official Name and Position | Sarah Deane (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5733132500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Missouri Health Network 6738 State Highway 77 Benton MO 63736-8238 Ph: (573) 313-2500 | Southeast Missouri Health Network Caruthersville Medical Center 109 East 5th Street Caruthersville MO 63830-1417 Ph: (573) 359-9803 |
| NPI Number | 1649697566 |
|---|---|
| Provider Enumeration Date | 03/28/2014 |
| Last Update Date | 05/22/2019 |
| Medicare PECOS PAC ID | 6507818044 |
|---|---|
| Medicare Enrollment ID | O20140625001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649697566 | NPI | - | NPPES |
| 1649697566 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W 12th St, Caruthersville, MO 63830 Phone: 573-575-4181 Fax: 573-575-4180 | |
Pemiscot County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 West 12th St, Caruthersville, MO 63830 Phone: 573-359-1782 Fax: 573-333-4665 | |
Douglas Fitzwater Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W 15th Street, Caruthersville, MO 63830 Phone: 731-512-1277 | |
Caruthersville Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Ward Ave, Caruthersville, MO 63830 Phone: 579-333-0033 Fax: 573-333-2522 | |
Wt Regional Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W 15th St, Caruthersville, MO 63830 Phone: 573-333-0033 Fax: 573-333-2522 |