SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
NPI 1265575385
Clinic/Center - Rural Health in Bloomfield, MO

Active since February 15, 2007CLIA 26D0995484 · Waiver
1003 STATE HWY 25 NORTH, BLOOMFIELD, MO 63825(573) 568-3686 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeast Health Center Of Stoddard County Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC (NPI 1265575385), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Bloomfield, Missouri and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1265575385
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Location Address1003 STATE HWY 25 NORTHBloomfield, MO 63825
Mailing AddressPo Box 368Dexter, MO 63841-0368 · (573) 624-3165 · Fax (573) 624-3157
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateFebruary 15, 2007
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1265575385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1003 STATE HWY 25 NORTH, Bloomfield, MO 63825

Other Names 1

Doing Business AsMercy Hospital Stoddard

Other Identifiers 2

Medicaid599176906MO
OtherDC5318MO · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0995484

Southeast Health Center Of Stoddard Co Bloomfield · Bloomfield, MO
Active · expires Aug 31, 2026
CLIA Number26D0995484
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPhilma B. Opinaldo
Laboratory Phone(573) 568-3686
Laboratory LocationSoutheast Health Center Of Stoddard Co Bloomfield1003 Hwy 25 North, Bloomfield, MO 63825
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Health Center Of Stoddard County LLC's NPI number?

The NPI number for Southeast Health Center Of Stoddard County LLC is 1265575385. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Mercy Hospital Stoddard.

Where is Southeast Health Center Of Stoddard County LLC located?

Southeast Health Center Of Stoddard County LLC is located at 1003 State Hwy 25 North, Bloomfield, MO 63825. The listed phone number is (573) 568-3686.

What is Southeast Health Center Of Stoddard County LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Southeast Health Center Of Stoddard County LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0995484) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southeast Health Center Of Stoddard County LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Southeast Health Center Of Stoddard County LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southeast Health Center Of Stoddard County LLC was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.