SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
NPI 1679820286
Clinic/Center - Rural Health in Bernie, MO

Active since August 14, 2012CLIA 26D2046362 · Waiver
810 N WALNUT ST, BERNIE, MO 63822(573) 293-5336 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 1679820286), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Bernie, Missouri and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679820286
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Location Address810 N WALNUT STBernie, MO 63822-8901
Mailing Address810 N Walnut StBernie, MO 63822-8901 · (573) 293-5336
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateAugust 14, 2012
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1679820286 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
810 N WALNUT ST, Bernie, MO 63822

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

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 26D2046362

Southeast Health Center Of Stoddard County Bernie Clinic · Bernie, MO
Active · expires Aug 30, 2026
CLIA Number26D2046362
Laboratory TypePhysician Office
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorJennifer Sellman
Laboratory Phone(573) 293-5336
Laboratory LocationSoutheast Health Center Of Stoddard County Bernie Clinic810 North Walnut, Bernie, MO 63822
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
810 N WALNUT ST
BERNIE, MO 63822

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 1679820286. It was assigned to this organization in the NPPES registry on August 14, 2012. 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 810 N Walnut St, Bernie, MO 63822. The listed phone number is (573) 293-5336.

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 26D2046362) is associated with this NPI, valid through August 30, 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 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.