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 |
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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 |
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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 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 04/26/2024 |
Medicare PECOS PAC ID | 6507818044 |
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Medicare Enrollment ID | O20240725002838 |
Identifier | Type | State | Issuer |
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1790531119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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 | |