| Southeast Missouri Health Network | |
|
310 Us Highway 61 New Madrid MO 63869-9753 | |
| (573) 688-2165 | |
| (573) 313-2505 |
| Full Name | Southeast Missouri Health Network |
|---|---|
| Speciality | Clinic/Center |
| Location | 310 Us Highway 61, New Madrid, Missouri |
| Authorized Official Name and Position | Sara Deane (CFO) |
| 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 310 Us Highway 61 New Madrid MO 63869-9753 Ph: (573) 688-2165 |
| NPI Number | 1790531119 |
|---|---|
| Provider Enumeration Date | 04/26/2024 |
| Last Update Date | 04/26/2024 |
| Medicare PECOS PAC ID | 6507818044 |
|---|---|
| Medicare Enrollment ID | O20240725002838 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790531119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Highway 61, New Madrid, MO 63869 Phone: 573-748-2592 Fax: 573-748-2673 | |
Southeast Health Center Of Stoddard County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Us Highway 61, New Madrid, MO 63869 Phone: 573-521-2442 Fax: 573-624-8895 | |
Ferguson Medical Group Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Virginia Ave, New Madrid, MO 63869 Phone: 573-471-0330 Fax: 573-481-5019 | |
Pemiscot County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Virginia Ave, New Madrid, MO 63869 Phone: 573-748-3107 Fax: 573-748-3112 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 Main St, New Madrid, MO 63869 Phone: 573-748-2546 Fax: 573-748-7622 |