SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER
NPI 1710047618
Clinic/Center - Rural Health in Dexter, MO

NPI Status: Active since December 11, 2006

Contact Information

1300 N ONE MILE RD
SUITE 2
DEXTER, MO
ZIP 63841
Phone: (573) 624-7662

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance

About SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER

This page provides the complete NPI Profile along with additional information for Southeasthealth Children's Clinic Of Dexter, a primary care provider established in Dexter, Missouri operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1710047618 assigned on December 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Southeasthealth Children's Clinic Of Dexter. The authorized official of this NPI record is Paula E Harris (Vice President Regional Operations)

NPI
1710047618
Provider Legal Name
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Other Organization Name
SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1300 N ONE MILE RD SUITE 2 DEXTER, MO 63841
Location Phone
(573) 624-7662
Mailing Address
PO BOX 368 DEXTER, MO 63841
Mailing Phone
(573) 624-3165
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-11-2006
Last Update Date
10-18-2013
Code Navigator

A primary care provider (PCP) like Southeasthealth Children's Clinic Of Dexter sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License State
MO

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Catastrophic Pathway (+ Incentives) - EPO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
  • Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAULA E HARRIS

Authorized Official Title
VICE PRESIDENT REGIONAL OPERATIONS
Authorized Official Phone
(573) 778-0020

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
595969007MEDICAID (05)MO 
268546MEDICARE ID-TYPE UNSPECIFIED (04)MO 
268546MEDICARE OSCAR/CERTIFICATION (06)MO 

Reviews for SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1710047618, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
1
Doubled → 2
Pos 4
0
Unchanged
Pos 5
0
Doubled → 0
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 7 → 14 → 5 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 2 + 0 + 0 + 4 + 1 + 4 + 6 + 2 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1710047618.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Pediatrics
1300 N ONE MILE RD, SUITE 2
DEXTER, MO 63841
Internal Medicine
1300 N ONE MILE RD, SUITE 1
DEXTER, MO 63841
Surgery
1300 N ONE MILE RD, SUITE 5
DEXTER, MO 63841
Clinic/Center (Rural Health)
1300 N ONE MILE RD
DEXTER, MO 63841
Internal Medicine
1300 N ONE MILE RD, SUITE 1
DEXTER, MO 63841
Home Health
1300 N ONE MILE RD, SUITE 7
DEXTER, MO 63841
Surgery
1300 N ONE MILE RD, SUITE 7
DEXTER, MO 63841
Clinic/Center (Rural Health)
1300 N ONE MILE RD
DEXTER, MO 63841
Pediatrics
1300 N ONE MILE RD, SUITE 2
DEXTER, MO 63841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710047618, enumerated as an "organization" on December 11, 2006.

The provider is located at 1300 N ONE MILE RD SUITE 2 DEXTER, MO 63841 and the phone number is (573) 624-7662.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.