Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southeast Health Center of Stoddard County LLC

Organization Family Medicine Physician · NPI 1265575385

Southeast Health Center of Stoddard County LLC provides Family Medicine Physician services in Bloomfield, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1003 State Hwy 25 N
Bloomfield, MO 63825
Phone: (573) 568-3686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X (MO)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1265575385
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedFebruary 15, 2007
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing addressPo Box 368, Dexter, MO 63841-0368

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