| Organization Name: | SOUTHEAST MISSOURI HEALTH NETWORK |
| NPI Number: | 1013229749 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS JONES (CHIEF EXECUTIVE OFFICER) |
| Mailing Address: | 500 Russell St Kennett |
| State: | MO US |
| Postal Code: | 638572102 |
| Phone Number: | 5738883000 |
| Fax Number: | 5738883003 |
| NPI Enumeration Date: | 07/10/2010 |
| NPI Last Update Date: | 08/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |