SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
NPI 1679041040
Clinic/Center - Rural Health in Sikeston, MO

Active since November 05, 2018
522 VIRGINIA ST, SIKESTON, MO 63801(573) 624-1901 Get Directions Write a Review

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

Record update history: Sep 16, 2025, Nov 15, 2018, Nov 5, 2018 (3 updates tracked since 2018).

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 1679041040), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Sikeston, Missouri and active in the NPI registry since November 2018. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679041040
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Location Address522 VIRGINIA STSikeston, MO 63801-5812
Mailing Address1200 N One Mile RdDexter, MO 63841-1015 · (573) 614-1900 · Fax (573) 624-8895
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateNovember 5, 2018
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
NPI 1679041040 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
522 VIRGINIA ST, Sikeston, MO 63801

Other Names 1

Doing Business AsMercy Hospital Stoddard

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
522 VIRGINIA ST
SIKESTON, MO 63801
Podiatrist
522 VIRGINIA ST
SIKESTON, MO 63801
Podiatrist
522 VIRGINIA ST
SIKESTON, MO 63801

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 1679041040. It was assigned to this organization in the NPPES registry on November 5, 2018. 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 522 Virginia St, Sikeston, MO 63801. The listed phone number is (573) 624-1901.

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 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.