| Southeast Missouri Health Network | |
|
200 Pine St Sikeston MO 63801-3258 | |
| (573) 472-8850 | |
| Not Available |
| Full Name | Southeast Missouri Health Network |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 Pine St, Sikeston, Missouri |
| Authorized Official Name and Position | Sara Deane (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5733132500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 200 Pine St Sikeston MO 63801-3258 Ph: (573) 472-8850 |
| NPI Number | 1770129199 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 04/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770129199 | NPI | - | NPPES |
| 500077980 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1013 North Main, Sikeston, MO 63801 Phone: 573-472-7535 Fax: 573-472-7787 | |
Managed Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Hunter, Suite 4, Sikeston, MO 63801 Phone: 573-471-2905 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-4050 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Hospitality Dr, Sikeston, MO 63801 Phone: 573-471-0200 Fax: 573-471-7559 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 Smith Ave, Sikeston, MO 63801 Phone: 573-471-0200 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-471-1600 Fax: 573-472-7740 | |
Ferguson Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-472-2966 |