SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI 1316240096
Clinic/Center - Rural Health in Malden, MO

Active since December 17, 2010
500 N DOUGLASS ST, MALDEN, MO 63863(573) 276-2221 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 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 1316240096), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Malden, Missouri and active in the NPI registry since December 2010. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1316240096
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Location Address500 N DOUGLASS STMalden, MO 63863-1506
Mailing Address500 N Douglass StMalden, MO 63863-1506 · (573) 276-2221
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateDecember 17, 2010
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
✔ NPI 1316240096 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
500 N DOUGLASS ST, Malden, MO 63863

Other Names 1

Doing Business AsMercy Hospital Stoddard

Other Identifiers 1

Medicaid1316240096MO

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Health Center Of Stoddard County, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

105

Medicare enrollment records show 105 clinicians reassign Medicare billing to Southeast Health Center Of Stoddard County, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Emergency Medicine29
Nurse Practitioner19
Internal Medicine17
Family Practice15
Certified Registered Nurse Anesthetist (CRNA)10
Psychiatry6
General Surgery5
Hospitalist2
2 other specialties2

Nearest to this location (20)

See all 105
Nurse Practitioner
NPI 1356061121
806 N DOUGLASS ST
Malden, MO 63863
(573) 276-3873
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1013493865
100 N MAIN ST
Gideon, MO 63848
(573) 448-3800
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1972868719
810 N WALNUT ST
Bernie, MO 63822
(573) 293-5336
✔ PECOS✔ Accepts Medicare8.4 mi
Internal Medicine
NPI 1578528618
1300 N ONE MILE RD SUITE 1
Dexter, MO 63841
(573) 624-7788
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1245959717
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1255801247
1200 N ONE MILE RD
Dexter, MO 63841
(573) 421-3134
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1295423077
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-5566
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1285629543
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare16 mi
Family Practice
NPI 1013279918
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1487367694
1200 NORTH ONE MILE ROAD
Dexter, MO 63841
(573) 624-7575
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1043209836
1523 BUSINESS HWY 60 W STE A1
Dexter, MO 63841
(573) 624-8447
✔ PECOS17 mi
Emergency Medicine
NPI 1083176929
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-5566
✔ PECOS17 mi
Nurse Practitioner
NPI 1902982861
115 E BUSINESS HIGHWAY 60
Dexter, MO 63841
(573) 568-3686
✔ PECOS✔ Accepts Medicare17 mi
Family Practice
NPI 1083840433
1516 W BUSINESS HWY 60
Dexter, MO 63841
(573) 614-5007
✔ PECOS✔ Accepts Medicare17 mi
Emergency Medicine
NPI 1780146662
1200 N ONE MILE RD
Dexter, MO 63841
(573) 624-5566
✔ PECOS✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1639539141
1301 1ST ST
Kennett, MO 63857
(573) 718-4038
✔ Accepts Medicare22 mi
Family Practice
NPI 1649390683
1061 JONES ST
Kennett, MO 63857
(573) 888-0303
✔ PECOS23 mi
Nurse Practitioner
NPI 1558924845
800 US HWY 61
New Madrid, MO 63869
(573) 624-5566
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1619384088
1500 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 686-4151
✔ PECOS28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1770851743
2620 N WESTWOOD BLVD
Poplar Bluff, MO 63901
(573) 785-7721
✔ Accepts Medicare28 mi
See all 105 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1316240096. It was assigned to this organization in the NPPES registry on December 17, 2010. 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 500 N Douglass St, Malden, MO 63863. The listed phone number is (573) 276-2221.

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.

Is Southeast Health Center Of Stoddard County, LLC enrolled in Medicare?

Yes. Southeast Health Center Of Stoddard County, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Health Center Of Stoddard County, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 105 clinicians in 10 Medicare specialties reassign their Medicare billing to Southeast Health Center Of Stoddard County, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (29), Nurse Practitioner (19) and Internal Medicine (17). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sunflower Health Plan and Ambetter of Oklahoma and 2 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 13 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.