BERNIE DENTAL CLINIC
NPI 1598069247
Clinic/Center - Federally Qualified Health Center (FQHC) in Bernie, MO

Q: What is Southeast Missouri Health Network's NPI number?

The NPI number for Southeast Missouri Health Network is 1598069247. It was assigned to this organization in the NPPES registry on January 10, 2011. The provider is doing business as Bernie Dental Clinic.

Q: 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.

Active since January 10, 2011CLIA 26D0987299 · Waiver

741 S WALNUT ST, BERNIE, MO 63822(573) 293-6930(573) 293-6841 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Bernie Dental Clinic NPPES

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

BERNIE DENTAL CLINIC (NPI 1598069247) is a healthcare organization registered as a federally qualified health center (fqhc) in Bernie, Missouri and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Sara Deane, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1598069247

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK

Location Address741 S WALNUT STBernie, MO 63822-8900

Mailing Address741 South WalnutBernie, MO 63822 · (573) 293-6930 · Fax (573) 293-6841

Phone(573) 293-6930

Fax(573) 293-6841

Organization SubpartNo

Authorized OfficialSara DeaneChief Financial Officer · (573) 313-2500

Enumeration DateJanuary 10, 2011

Last NPPES UpdateMarch 22, 2021

NPPES CertifiedMarch 22, 2021

✔ NPI 1598069247 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

741 S WALNUT ST, Bernie, MO 63822

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Other Names 1

Doing Business AsBernie Dental Clinic

Other Identifiers 1

Medicaid1598069247MO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 26D0987299

Bernie Family Clinic · Bernie, MO

Active · expires May 31, 2027

CLIA Number26D0987299

Laboratory TypeRural Health Clinic

Certificate Effective DateJune 1, 2025

Certificate Expiration DateMay 31, 2027

Laboratory DirectorDaniel Domjan

Laboratory Phone(573) 293-6836

Laboratory LocationBernie Family Clinic741 South Walnut Street, Bernie, MO 63822

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SOUTHEAST MISSOURI HEALTH NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))