1. Home
  2. Directory
  3. Missouri
  4. Sikeston
  5. Clinic Center
  6. NPI Profile

SIKESTON HIGH SCHOOL CLINIC
NPI 1770129199
Clinic/Center - Federally Qualified Health Center (FQHC) in Sikeston, MO

Active since November 20, 2019CLIA 26D2188747 · Waiver
200 PINE ST, SIKESTON, MO 63801(573) 472-8850 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2020, Nov 20, 2019 (2 updates tracked since 2019).

About Sikeston High School Clinic NPPES

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

SIKESTON HIGH SCHOOL CLINIC (NPI 1770129199) is a healthcare organization registered as a federally qualified health center (fqhc) in Sikeston, Missouri and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Sara Deane, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1770129199
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK
Location Address200 PINE STSikeston, MO 63801-3258
Mailing Address6738 State Highway 77Benton, MO 63736-8238 · (573) 313-2500 · Fax (573) 313-2505
Phone(573) 472-8850
Organization SubpartNo
Authorized OfficialSara DeaneChief Financial Officer · (573) 313-2500
Enumeration DateNovember 20, 2019
Last NPPES UpdateApril 14, 20202 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1770129199 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
200 PINE ST, Sikeston, MO 63801
Open in Google Maps ↗

Other Names 1

Other NameSikeston High School Clinic

Other Identifiers 1

Medicaid500077980MO

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 ›

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 26D2188747

Sikeston High School Clinic · Sikeston, MO
Active · expires Jul 20, 2028
CLIA Number26D2188747
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorRick E. Mitchell
Laboratory Phone(573) 313-2500
Laboratory LocationSikeston High School Clinic200 Pine Street, Sikeston, MO 63801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

RAINEE DAVIS SCOTT APRN
Nurse Practitioner (Family)
200 PINE ST
SIKESTON, MO 63801
Scott County (573) 313-2500
MICAH DALE HARRIS LCSW
Social Worker (Clinical)
200 PINE ST
SIKESTON, MO 63801
Scott County (573) 472-8850
MS. TAYLOR RAE ALTENTHAL APRN
Nurse Practitioner (Family)
200 PINE ST
SIKESTON, MO 63801
Scott County (573) 472-8850

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 1770129199. It was assigned to this organization in the NPPES registry on November 20, 2019. The provider is also known as Sikeston High School Clinic.

Where is Southeast Missouri Health Network located?

Southeast Missouri Health Network is located at 200 Pine St, Sikeston, MO 63801. The listed phone number is (573) 472-8850.

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.

Does Southeast Missouri Health Network hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2188747) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.