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CH07137K SOUTHEAST MISSOURI HEALTH NETWORK (Active)
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Main Details
Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
New Madrid Medical Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007562
340B ID
CH07137K
Grant Number
H80CS00557
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/9/2004
Last Recertification Date
2/24/2025
Contacts
Authorizing Official
SEMO Health Network
CHRIS JONES, CEO
(573) 313-2501
Primary Contact
Southeast Missouri Health Network
Mallory Matthews, Chief Clinical Officer
(573) 313-2500
Addresses
Street Address
421 SEMO Dr.
New Madrid, MO 63869-1733
Billing Address
SOUTHEAST MISSOURI HEALTH NETWORK, INC
6738 State Highway 77
Benton, MO 63736
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/09 ADDR CHANGE (WAS 409 MOTT STREET) NEW SITE 01/01/2005
03/16/2009
May 2025
May 2025
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