Organization Active NPI

Southeast Missouri Health Network

Doing business as senath medical center

  • Federally Qualified Health Center (FQHC)
  • Senath, MO
National Provider Identifier
1699050658
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
SOUTHEAST MISSOURI HEALTH NETWORK
Doing business as
senath medical center
Practice address
102 North Market Street
Senath, MO 63876
Phone
(573) 748-2440
NPI assigned
Oct 20, 2011
Last updated
Feb 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christa Tucker
Title
Cfo
Phone
(573) 748-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

102 North Market Street
Senath, MO 63876

Mailing address

420 Semo Dr
P O Box 400
New Madrid, MO 63869-1734
Phone (573) 748-2404

Other names 1

  • senath medical center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1699050658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SEMO DR",
            "address_2": "P O BOX 400",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691734",
            "telephone_number": "573-748-2404",
            "fax_number": "573-748-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 NORTH MARKET STREET",
            "city": "SENATH",
            "state": "MO",
            "postal_code": "63876",
            "telephone_number": "573-748-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MISSOURI HEALTH NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-748-2404"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "senath medical center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Senath, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.