BENTON MEDICAL CENTER
NPI 1528348778
Clinic/Center - Federally Qualified Health Center (FQHC) in Benton, MO
About Benton Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENTON MEDICAL CENTER (NPI 1528348778) is a healthcare organization registered as a federally qualified health center (fqhc) in Benton, Missouri and active in the NPI registry since August 2011. The organization lists Chris Jones, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benton Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Benton Medical Center, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Network's NPI number?
The NPI number for Southeast Missouri Health Network is 1528348778. It was assigned to this organization in the NPPES registry on August 19, 2011. The provider is doing business as Benton Medical Center.
Where is Southeast Missouri Health Network located?
Southeast Missouri Health Network is located at 6724 Highway 77 E, Benton, MO 63736. The listed phone number is (573) 545-4191.
What is Southeast Missouri Health Network's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Southeast Missouri Health Network enrolled in Medicare?
Yes. Southeast Missouri Health Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Missouri Health Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Southeast Missouri Health Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeast Missouri Health Network was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Benton Medical Center · NPI 1528348778
Federally Qualified Health Center (FQHC) organization in Benton, Missouri. Organization record, active in the CMS NPPES registry since August 19, 2011.
## Identity
- **NPI:** 1528348778 (Entity type: Organization)
- **Enumerated:** August 19, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southeast Missouri Health Network
- **Organization subpart:** No
- **Authorized official:** Chris Jones, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6724 HIGHWAY 77 E, Benton, MO 63736
- **Phone:** (573) 545-4191 · **Fax:** (573) 545-4425
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Mental Health Counselor (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2014
- **Other identifiers:** Medicaid 1497035661 (MO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1528348778) · Data from the CMS NPPES public registry.