SOUTHEAST MISSOURI HEALTH NETWORK (NPI# 1194945154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194945154 |
Entity Type | Organization |
Organization Name | SOUTHEAST MISSOURI HEALTH NETWORK |
Other Organization Name | BERNIE MEDICAL CENTER |
Practice Address |
741 S Walnut St Bernie MO 63822-8900 |
Mailing Address |
6738 State Highway 77 Benton MO 63736-8238 |
Practice Telephone | 5737487712 |
Practice Fax Number | 5732936838 |
Mailing Telephone | 5733132500 |
Mailing Fax Number | 5733132505 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2020-04-14 |
Authorized Official Name | SARA DEANE (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5733132500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 500704051 | 05 |
Other Name | Type Code |
---|---|
bernie family clinic | Doing Business As Name - Organization |
Bernie Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619513215 | Southeast Missouri Health Network | Clinic/Center | 835 W Murray Ln, Sikeston, MO 63801-4056 | 2019-11-19 |
1790257228 | Southeast Missouri Health Network | Physician Assistant | Kennett Middle School Clinic, 510 College Ave, Kennett, MO 63857-2062 | 2018-12-21 |
1679019491 | Southeast Missouri Health Network | Dentist | 111 Prairie Drive, East Prairie, MO 63845 | 2017-01-18 |
1649697566 | Southeast Missouri Health Network | Clinic/Center | Caruthersville Medical Center, 109 East 5th Street, Caruthersville, MO 63830-1417 | 2014-03-28 |
1528348778 | Southeast Missouri Health Network | Dentist | 6724 Highway 77 E, Benton, MO 63736 | 2011-08-19 |
1598069247 | Southeast Missouri Health Network | Dentist | 420 Semo Dr, New Madrid, MO 63869-1734 | 2011-01-10 |
1720209794 | Southeast Missouri Health Network | Clinic/Center | 700 N Douglass St, Malden, MO 63863-1510 | 2007-05-01 |
1609095975 | Southeast Missouri Health Network | Clinic/Center | 421 Semo Dr, New Madrid, MO 63869-1733 | 2007-04-25 |
1932108974 | Southeast Missouri Health Network | Clinic/Center | 6738 State Highway 77, Benton, MO 63736-8238 | 2005-07-20 |
1770129199 | Southeast Missouri Health Network | Clinic/Center | 200 Pine St, Sikeston, MO 63801-3258 | 2019-11-20 |
Street Address |
741 S WALNUT ST |
City | BERNIE |
State | MO |
Zip Code | 63822-8900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972017416 | Katrina Leanne Miller | Nurse Practitioner | 741 S Walnut St, Bernie, MO 63822-8900 | 2017-11-20 |
1255696001 | Amanda Elaine Bader | Nurse Practitioner | 741 S Walnut St, Bernie, MO 63822-8900 | 2012-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336282656 | Gideon Nursing Care Center Inc. | Homemaker | 400 Winchester Dr, Bernie, MO 63822 | 2007-02-15 |
1114069697 | Gideon Nursing Care Center | Homemaker | Winchester & Bowman, Bernie, MO 63822 | 2007-02-13 |
1487132890 | Winchester Nursing Center Inc | Skilled Nursing Facility | 400 Winchester Road, Bernie, MO 63822-0760 | 2018-07-30 |
1275675753 | Winchester Residential Care Inc | Assisted Living Facility | 400 Winchester, Bernie, MO 63822-0760 | 2007-02-13 |
1194981704 | Tammy Sharie Shepard | Counselor | 875 St. Hwy Vv, Kennett, MO 63822-6382 | 2008-08-03 |
1649607789 | Gideon Nursing Care Center Inc. | In Home Supportive Care | 404 Winchester Dr, Bernie, MO 63822-7500 | 2013-10-03 |
1972868719 | Cara M Dillinger | Nurse Practitioner | 810 N Walnut St, Bernie, MO 63822-8901 | 2012-07-09 |
1679820286 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 810 N Walnut St, Bernie, MO 63822-8901 | 2012-08-14 |
1669614822 | Tari D. Cupp | Speech-Language Pathologist | 605 Mulberry St, Bernie, MO 63822-9457 | 2009-04-01 |
1679554299 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 116 S Walnut St, Bernie, MO 63822-9508 | 2005-11-10 |
Find all providers in zip 63822 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.