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Contact Information

SOUTHEAST MISSOURI HEALTH NETWORK
111 PRAIRIE DRIVE
EAST PRAIRIE, MO63845
 Phone: 573-649-9311
 Fax: 573-649-9331
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for SOUTHEAST MISSOURI HEALTH NETWORK

NPI Number 1679019491
LBN Legal business name SOUTHEAST MISSOURI HEALTH NETWORK
Authorized official SARA DEANE - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/18/2017
Last updated 11/09/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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