SOUTHEAST MISSOURI HEALTH NETWORK
NPI 1932108974
Clinic/Center - Federally Qualified Health Center (FQHC) in Benton, MO
About Southeast Missouri Health Network NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST MISSOURI HEALTH NETWORK (NPI 1932108974) is a healthcare organization registered as a federally qualified health center (fqhc) in Benton, Missouri and active in the NPI registry since July 2005. The organization lists Mallory Matthews, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Missouri Health Network is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Southeast Missouri Health Network, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (18)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1932108974. It was assigned to this organization in the NPPES registry on July 20, 2005.
Where is Southeast Missouri Health Network located?
Southeast Missouri Health Network is located at 6738 State Highway 77, Benton, MO 63736. The listed phone number is (573) 313-2500.
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.
Is Southeast Missouri Health Network enrolled in Medicare?
Yes. Southeast Missouri Health Network is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southeast Missouri Health Network?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 5 Medicare specialties reassign their Medicare billing to Southeast Missouri Health Network. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Mental Health Counselor (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southeast Missouri Health Network accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma 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 September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.
# Southeast Missouri Health Network · NPI 1932108974
Federally Qualified Health Center (FQHC) organization in Benton, Missouri. Organization record, active in the CMS NPPES registry since July 20, 2005.
## Identity
- **NPI:** 1932108974 (Entity type: Organization)
- **Enumerated:** July 20, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Mallory Matthews, COO
## Practice location
- **Address:** 6738 STATE HIGHWAY 77, Benton, MO 63736-8238
- **Phone:** (573) 313-2500 · **Fax:** (573) 313-2505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Mental Health Counselor (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
- **Other identifiers:** Medicaid 406087205 (MO); Medicaid 400704003 (MO); Medicaid 500704028 (MO); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1932108974) · Data from the CMS NPPES public registry.