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CH07137R SOUTHEAST MISSOURI HEALTH NETWORK (Active)
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Main Details
Name
SOUTHEAST MISSOURI HEALTH NETWORK
Subdivision Name
Caruthersville Medical and Dental Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021958
340B ID
CH07137R
Grant Number
H80CS00557
Additional Details
Current Program Status
Active
Registration Date
1/14/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/28/2015
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
109 E. 5th St.
Caruthersville, MO 63830
Billing Address
SEMO Health Network
6738 St. Hwy 77
Benton, MO 63736
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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