Southeast Missouri Health Network
Federally Qualified Health Center (FQHC) Clinic | Clinic/center
500 Russell St, Kennett
Missouri, 63857-2102
573-888-3000 573-888-3003
Maps & DirectionsSoutheast Missouri Health Network is a Clinic/center (Federally Qualified Health Center (FQHC)) Clinic in Kennett, Missouri. It is located at 500 Russell St, Kennett, MO and its contact number is 573-888-3000. The authorized person for Southeast Missouri Health Network is Chris Jones
who is Chief Executive Officer of the clinic and their contact number is 573-748-2404.
Southeast Missouri Health Network Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Southeast Missouri Health Network Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Southeast Missouri Health Network |
| Specialization: | Federally Qualified Health Center (FQHC), Clinic/center |
| Clinic Address: | 500 Russell St, Kennett,
Missouri, 63857-2102 |
| Phone: | 573-888-3000 |
| Fax: | 573-888-3003 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Chris Jones |
| Position: | Chief Executive Officer |
| Contact Number: | 573-748-2404 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Southeast Missouri Health Network clinic are as mentioned below.
| NPI Number: | 1013229749 |
| NPI Enumeration Date: | 10 Jul, 2010 |
| NPI Last Update On: | 06 Aug, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southeast Missouri Health Network are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Federally Qualified Health Center (FQHC) | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1013229749 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Southeast Missouri Health Network
420 Semo Dr, P.o. Box 400
New Madrid, Missouri |
| Zip: | 63869-1734 |
| Phone Number: | 573-748-2404 |
| Fax Number: | 573-748-8929 |
Patients can reach Southeast Missouri Health Network at
500 Russell St, Kennett, Missouri or can
call to book an appointment on 573-888-3000.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.