SOUTHEAST MISSOURI BEHAVIORAL HEALTH
NPI 1134492390
Substance Abuse Rehabilitation Facility in Poplar Bluff, MO
About Southeast Missouri Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST MISSOURI BEHAVIORAL HEALTH (NPI 1134492390) is a healthcare organization registered as a substance abuse rehabilitation facility in Poplar Bluff, Missouri and active in the NPI registry since February 2012. The organization holds 2 active CLIA laboratory certificates and lists Barron E Pratte, President/ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2337477
Southeast Missouri Behavioral Health - Poplar Bluff · Poplar Bluff, MOCertificate of Waiver 26D2336596
Southeast Missouri Behavioral Health - New Era Center · Poplar Bluff, MOOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southeast Missouri Behavioral Health's NPI number?
The NPI number for Southeast Missouri Behavioral Health is 1134492390. It was assigned to this organization in the NPPES registry on February 20, 2012.
Where is Southeast Missouri Behavioral Health located?
Southeast Missouri Behavioral Health is located at 101 S Main St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5090.
What is Southeast Missouri Behavioral Health's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Southeast Missouri Behavioral Health hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Southeast Missouri Behavioral Health was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southeast Missouri Behavioral Health · NPI 1134492390
Substance Abuse Rehabilitation Facility organization in Poplar Bluff, Missouri. Organization record, active in the CMS NPPES registry since February 20, 2012.
## Identity
- **NPI:** 1134492390 (Entity type: Organization)
- **Enumerated:** February 20, 2012
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Barron Pratte, PRESIDENT/CEO
## Practice location
- **Address:** 101 S MAIN ST, Poplar Bluff, MO 63901-5843
- **Phone:** (573) 686-5090
## Record status
- **NPPES last updated:** February 20, 2012
- **CLIA laboratory certificates:** 2 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1134492390) · Data from the CMS NPPES public registry.