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BENTON MEDICAL CENTER
NPI 1528348778
Clinic/Center - Federally Qualified Health Center (FQHC) in Benton, MO

Active since August 19, 2011
6724 HIGHWAY 77 E, BENTON, MO 63736(573) 545-4191(573) 545-4425 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1528348778
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK
Location Address6724 HIGHWAY 77 EBenton, MO 63736
Mailing Address420 Semo DrNew Madrid, MO 63869-1734 · (573) 748-2404 · Fax (573) 748-8929
Phone(573) 545-4191
Fax(573) 545-4425
Organization SubpartNo
Authorized OfficialChris JonesChief Executive Officer · (573) 748-2404
Enumeration DateAugust 19, 2011
Last NPPES UpdateAugust 6, 2014
✔ NPI 1528348778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
6724 HIGHWAY 77 E, Benton, MO 63736
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Other Names 1

Doing Business AsBenton Medical Center

Other Identifiers 1

Medicaid1497035661MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

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.