Covered Entity Details

CH071370 SOUTHEAST MISSOURI HEALTH NETWORK (Active)

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

Comment	Last Updated On
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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

340B Drug Pricing Program Database