OrganizationActive
Southeast Missouri Health Network
NPI 1104045475 · Federally Qualified Health Center (FQHC) · Sikeston, MO
Provider details
- NPI number
- 1104045475
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sara Deane, Chief Financial Officer(573) 313-2500
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Southland Dr
Sikeston, MO 63801-4403
Phone: (573) 472-1770
Fax: (573) 472-4050
Street-level locationGet directions
Mailing address
6738 State Highway 77
Benton, MO 63736-8238
Other names (DBA / former)
- Other name
- Sikeston Medical Center
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.