SOUTHEAST MISSOURI HEALTH NETWORK NPI 1598069247

NPI Information

SOUTHEAST MISSOURI HEALTH NETWORK is a federally qualified health center (fqhc) clinic center in Bernie, MO. SOUTHEAST MISSOURI HEALTH NETWORK NPI is 1598069247. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bernie Dental Clinic.

The provider's business location address is:

741 S WALNUT ST
BERNIE, MO
ZIP 63822-900
Phone: (573) 293-6930
Fax: (573) 293-6841

The provider's authorized official is Sara Deane .
The authorized official title is Chief Financial Officer and has the following contact phone number (573) 313-2500.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 3/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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