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

PORTAGEVILLE FAMILY CLINIC
NPI 1780803916
Clinic/Center - Federally Qualified Health Center (FQHC) in Portageville, MO

Active since April 25, 2007
314 E MAIN ST, PORTAGEVILLE, MO 63873(573) 379-5929(573) 379-5912 Get Directions Write a Review

NPPES record last updated: March 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portageville Family Clinic NPPES

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

PORTAGEVILLE FAMILY CLINIC (NPI 1780803916) is a healthcare organization registered as a federally qualified health center (fqhc) in Portageville, Missouri and active in the NPI registry since April 2007. The organization lists Cheryl A White, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1780803916
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHEAST MISSOURI HEALTH NETWORK
Location Address314 E MAIN STPortageville, MO 63873-1616
Mailing Address311 Main St, P.o. Box 400New Madrid, MO 63869-1942 · (573) 748-2404 · Fax (573) 748-8929
Phone(573) 379-5929
Fax(573) 379-5912
Organization SubpartYes
Authorized OfficialCheryl A WhiteChief Executive Officer · (573) 748-2404
Enumeration DateApril 25, 2007
Last NPPES UpdateMarch 7, 2011
✔ NPI 1780803916 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
314 E MAIN ST, Portageville, MO 63873
Open in Google Maps ↗

Other Names 1

Doing Business AsPortageville Family Clinic

Other Identifiers 3

Medicaid503973901MO
Other000010626MO · Group Ptan
Medicare OSCAR/certification261849MO

Other Providers at the Same Location NPPES 4

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

HEALTH FACILITIES REHAB SERVICES INC
Clinic/Center (Rehabilitation)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-2833
MR. DENNIS REED PA
Physician Assistant
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
RALPH KELLEY DO
Family Medicine (Adult Medicine)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777
PEMISCOT COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
314 E MAIN ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-3777

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 1780803916. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Portageville Family Clinic.

Where is Southeast Missouri Health Network located?

Southeast Missouri Health Network is located at 314 E Main St, Portageville, MO 63873. The listed phone number is (573) 379-5929.

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 March 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.