OrganizationActive
Southeast Missouri Health Network
NPI 1780803916 · Federally Qualified Health Center (FQHC) · Portageville, MO
Provider details
- NPI number
- 1780803916
- 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
- Cheryl White, Chief Executive Officer(573) 748-2404
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
314 E Main St
Portageville, MO 63873-1616
Phone: (573) 379-5929
Fax: (573) 379-5912
Street-level locationGet directions
Mailing address
311 Main St
New Madrid, MO 63869-1942
Other names (DBA / former)
- Doing business as
- Portageville Family Clinic
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2011-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.