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CH071370 SOUTHEAST MISSOURI HEALTH NETWORK (Active)
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Main Details
Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
SOUTHEAST MISSOURI HEALTH NETWORK
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013788
340B ID
CH071370
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
420 SEMO DR
NEW MADRID, MO 63869-1734
Billing Address
SOUTHEAST MISSOURI HEALTH NETWORK
6738 STATE HIGHWAY 77
BENTON, MO 63736
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/30/14 modifying record to correct issues that originally arose because of an incorrect site ID; to summarize the history, in Sept 2012 the address of this record was updated to 420 Line St, but during recert in 2013 an incorrect site ID was assigned (the site ID for 409 Main St); in 2014 the automatic EHB alignment process forced the address to align to the site ID (409 Main St), when what should have happened is that the site ID should have been corrected and the address kept the same; to add to the confusion, the city changed the name of the Line St to SEMO St (the acronym for this organization); when the organization realized that the address for this record was wrong, they wanted to update/correct the address, but ApexusAnswers told them they had to terminate the record and submit a registration next quarter; so a termination request was submitted and approved by OPA with a termination date of 7/1/14; on 6/30/14 the termination date was removed, and the site ID and address were updated to undo all the issues of the past; 5/5/09 ADDR CHANGE (WAS 202A MAIN STREET PO BOX 400) NEW SITE 01/01/2005
06/30/2014
5/5/09 ADDR CHANGE (WAS 202A MAIN STREET PO BOX 400) NEW SITE 01/01/2005
05/05/2009
June 2025
June 2025
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