OrganizationActive
Southeast Missouri Health Network
NPI 1457570681 · Federally Qualified Health Center (FQHC) · New Madrid, MO
Provider details
- NPI number
- 1457570681
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Southeast Missouri Health Network
- Organization subpart
- Yes
- Authorized official
- Christopher Jones, Chief Executive Officer(573) 748-2404
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
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
202b Main St
New Madrid, MO 63869-1911
Phone: (573) 748-5671
Fax: (573) 748-5317
Street-level locationGet directions
Mailing address
420 Semo Dr
New Madrid, MO 63869-1734
Other names (DBA / former)
- Doing business as
- Bootheel Dental Clinic
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2014-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.