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CH07137A SOUTHEAST MISSOURI HEALTH NETWORK (Active)
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Main Details
Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
Sikeston Medical Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008968
340B ID
CH07137A
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
200 Southland Dr
Sikeston, MO 63801-4403
Billing Address
SOUTHEAST MISSOURI HEALTH NETWORK, INC
6738 Hwy 77
SEMO Health Network
SEMO Health Network
Benton, MO 63736
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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4/9/10 - UPDATED PHYS ADD (WAS 903 S KINDSHIGHWAY, SIKESTON)
04/09/2010
May 2025
May 2025
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