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 1639736457

Southeast Health Center of Stoddard County LLC provides Family Medicine Physician services in New Madrid, Missouri. Registered with an NPI since 2019.

In the registry since
2019
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

800 US Highway 61
New Madrid, MO 63869-1106
Phone: (573) 521-2442
Fax: (573) 624-8895
Show map & directions

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 number1639736457
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedMay 28, 2019
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1200 N One Mile Rd, Dexter, MO 63841-1015

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