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SOUTHEAST HEALTH ON WHEELS MOBILE VAN
NPI 1720209794
Clinic/Center - Federally Qualified Health Center (FQHC) in Malden, MO

Active since May 01, 2007
700 N DOUGLASS ST, MALDEN, MO 63863(573) 748-7701(573) 748-2554 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeast Health On Wheels Mobile Van NPPES

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

SOUTHEAST HEALTH ON WHEELS MOBILE VAN (NPI 1720209794) is a healthcare organization registered as a federally qualified health center (fqhc) in Malden, Missouri and active in the NPI registry since May 2007. The organization lists Cheryl A White, Ceo, as its authorized official.

NPPES Registry Identity

NPI1720209794
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK
Location Address700 N DOUGLASS STMalden, MO 63863-1510
Mailing Address420 Line St, P.o. Box 400New Madrid, MO 63869-1734 · (573) 748-2404 · Fax (573) 748-8929
Phone(573) 748-7701
Fax(573) 748-2554
Organization SubpartYes
Authorized OfficialCheryl A WhiteCeo · (573) 748-2404
Enumeration DateMay 1, 2007
Last NPPES UpdateMay 2, 2013
✔ NPI 1720209794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
700 N DOUGLASS ST, Malden, MO 63863
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Other Names 1

Doing Business AsSoutheast Health On Wheels Mobile Van

Other Identifiers 3

Medicare OSCAR/certification261825MO
Other000010626MO · Group Ptan
Medicaid500704028MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 1720209794. It was assigned to this organization in the NPPES registry on May 1, 2007. The provider is doing business as Southeast Health On Wheels Mobile Van.

Where is Southeast Missouri Health Network located?

Southeast Missouri Health Network is located at 700 N Douglass St, Malden, MO 63863. The listed phone number is (573) 748-7701.

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.

What insurance does Southeast Missouri Health Network accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Southeast Missouri Health Network as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Missouri Health Network was last updated on May 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.