| Organization Name: | SOUTHEAST MISSOURI HEALTH NETWORK |
| NPI Number: | 1649697566 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTOPHER JONES (ACTING CEO) |
| Mailing Address: | 223 S 3rd St Hayti |
| State: | MO US |
| Postal Code: | 638511617 |
| Phone Number: | 5733599803 |
| Fax Number: | 5733590990 |
| NPI Enumeration Date: | 03/28/2014 |
| NPI Last Update Date: | 10/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |