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: August 16, 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

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 26D0442307

Southeast Health Center Of Stoddard Co Malden · Malden, MO
Expired · Aug 14, 2026
CLIA Number26D0442307
Laboratory TypeRural Health Clinic
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorJennifer R. Sellman
Laboratory Phone(573) 276-2221
Laboratory LocationSoutheast Health Center Of Stoddard Co Malden500 N Douglas St, Malden, MO 63863
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 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.

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 11 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.