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 1316240096

Southeast Health Center of Stoddard County, LLC provides Family Medicine Physician services in Malden, Missouri. Registered with an NPI since 2010.

In the registry since
2010
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

500 N Douglass St
Malden, MO 63863-1506
Phone: (573) 276-2221
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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
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1316240096
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard; Mercy Hospital Stoddard
NPI enumeratedDecember 17, 2010
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address500 N Douglass St, Malden, MO 63863-1506

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