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SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER INC
NPI 1407917404
Clinic/Center - Rehabilitation, Substance Use Disorder in Poplar Bluff, MO

Active since December 13, 2006
101 S MAIN ST, POPLAR BLUFF, MO 63901(573) 686-5090(573) 785-4104 Get Directions Write a Review

NPPES record last updated: May 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Missouri Community Treatment Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER INC (NPI 1407917404) is a healthcare organization registered as a rehabilitation, substance use disorder in Poplar Bluff, Missouri and active in the NPI registry since December 2006. The organization lists Barron E Pratte, President Ceo, as its authorized official.

NPPES Registry Identity

NPI1407917404
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameSOUTHEAST MISSOURI COMMUNITY TREATMENT CENTER INC
Location Address101 S MAIN STPoplar Bluff, MO 63901-5843
Mailing Address512 E Main St, Po Box 506Park Hills, MO 63601-2624 · (573) 431-0554 · Fax (573) 431-5205
Phone(573) 686-5090
Fax(573) 785-4104
Organization SubpartNo
Authorized OfficialBarron E PrattePresident Ceo · (573) 431-0554
Enumeration DateDecember 13, 2006
Last NPPES UpdateMay 6, 2008
✔ NPI 1407917404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
101 S MAIN ST, Poplar Bluff, MO 63901
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Other Identifiers 1

Medicaid866204605MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLIE PATTY LPN
Licensed Practical Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
CONNIE BOWENS PN
Licensed Practical Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
REBEKAH HODGKISS RN
Registered Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
MRS. SANDRA KAY WHEETLEY L.P.C.
Counselor (Professional)
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 624-6937
RAMONA DUGAS RN
Registered Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
SHARON SANDERS
Registered Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
SOUTHEAST MISSOURI BEHAVIORAL HEALTH
Substance Abuse Rehabilitation Facility
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090
JANICE NICHOLSON RN
Registered Nurse
101 S MAIN ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-5090

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 Community Treatment Center Inc's NPI number?

The NPI number for Southeast Missouri Community Treatment Center Inc is 1407917404. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Southeast Missouri Community Treatment Center Inc located?

Southeast Missouri Community Treatment Center Inc is located at 101 S Main St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-5090.

What is Southeast Missouri Community Treatment Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Southeast Missouri Community Treatment Center Inc was last updated on May 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.