SOUTHEASTHEALTH INTERNAL MEDICINE OF DEXTER
NPI 1629111729
Clinic/Center - Rural Health in Dexter, MO
About Southeasthealth Internal Medicine Of Dexter NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEASTHEALTH INTERNAL MEDICINE OF DEXTER (NPI 1629111729) is a healthcare organization registered as a rural health in Dexter, Missouri and active in the NPI registry since February 2007. The organization lists Kathy Vickery, Vice President Regional Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEXTER, MO 63841
DEXTER, MO 63841
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 1629111729. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider is doing business as Southeasthealth Internal Medicine Of Dexter.
Where is Southeast Health Center Of Stoddard County LLC located?
Southeast Health Center Of Stoddard County LLC is located at 1300 N One Mile Rd, Dexter, MO 63841. The listed phone number is (573) 614-1951.
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 Anthem Blue Cross and Blue Shield 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 December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Southeasthealth Internal Medicine Of Dexter · NPI 1629111729
Rural Health organization in Dexter, Missouri. Organization record, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1629111729 (Entity type: Organization)
- **Enumerated:** February 15, 2007
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Southeast Health Center Of Stoddard County Llc
- **Organization subpart:** No
- **Authorized official:** Kathy Vickery, VICE PRESIDENT REGIONAL OPERATIONS
## Practice location
- **Address:** 1300 N ONE MILE RD, Dexter, MO 63841-1042
- **Phone:** (573) 614-1951
## Record status
- **NPPES last updated:** December 1, 2015
- **Other identifiers:** Other DC5219; Medicare OSCAR/certification 268547 (MO); Medicaid 595968900 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1629111729) · Data from the CMS NPPES public registry.