Southeast Missouri Health Network
NPI 1710108766 · Federally Qualified Health Center (FQHC) · Kennett, MO
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Missouri Health Network is a Federally Qualified Health Center (FQHC) organization in Kennett, MO (NPI 1710108766).
Provider details
- NPI number
- 1710108766
- 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
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
Mailing address
Other names (DBA / former)
- Other name
- Otto Bean Medical Clinic
- Doing business as
- Otto Bean Medical Center
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2020-04-14
- Certified
- 2020-04-14
Frequently asked questions
- What is Southeast Missouri Health Network's NPI number?
- Southeast Missouri Health Network's National Provider Identifier (NPI) is 1710108766, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Missouri Health Network?
- Southeast Missouri Health Network is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southeast Missouri Health Network located?
- Southeast Missouri Health Network's practice location on file with NPPES is 500 Russell St, Kennett, MO 63857-2102.
- What is Southeast Missouri Health Network's phone number?
- The practice phone number listed in the NPPES registry for Southeast Missouri Health Network is (573) 717-1332.
- Does Southeast Missouri Health Network accept Medicare?
- Southeast Missouri Health Network is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Missouri Health Network?
- The authorized official listed on Southeast Missouri Health Network's NPPES record is Sara Deane, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Missouri Health Network's NPI active?
- Yes — Southeast Missouri Health Network's NPI (1710108766) is active in the NPPES registry as of the last update on 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.