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

Active since December 11, 2006
1300 N ONE MILE RD, SUITE 2, DEXTER, MO 63841(573) 624-7662 Get Directions Write a Review

NPPES record last updated: October 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southeasthealth Children's Clinic Of Dexter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTHEALTH CHILDREN'S CLINIC OF DEXTER (NPI 1710047618) is a healthcare organization registered as a rural health in Dexter, Missouri and active in the NPI registry since December 2006. The organization lists Paula E Harris, Vice President Regional Operations, as its authorized official.

NPPES Registry Identity

NPI1710047618
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Location Address1300 N ONE MILE RD, SUITE 2Dexter, MO 63841-1042
Mailing AddressPo Box 368Dexter, MO 63841-0368 · (573) 624-3165 · Fax (573) 624-3157
Organization SubpartYes
Authorized OfficialPaula E HarrisVice President Regional Operations · (573) 778-0020
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 18, 2013
NPI 1710047618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1300 N ONE MILE RD, Dexter, MO 63841

Other Names 1

Doing Business AsSoutheasthealth Children's Clinic Of Dexter

Other Identifiers 3

Medicaid595969007MO
Medicare ID-Type Unspecified268546MO
Medicare OSCAR/certification268546MO

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.

Pediatrics
1300 N ONE MILE RD, SUITE 2
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
Internal Medicine
1300 N ONE MILE RD, SUITE 1
DEXTER, MO 63841
Clinic/Center (Rural Health)
1300 N ONE MILE RD
DEXTER, MO 63841
Surgery
1300 N ONE MILE RD, SUITE 7
DEXTER, MO 63841
Surgery
1300 N ONE MILE RD, SUITE 5
DEXTER, MO 63841
Home Health
1300 N ONE MILE RD, SUITE 7
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 1710047618. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Southeasthealth Children's Clinic 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 Suite 2, Dexter, MO 63841. The listed phone number is (573) 624-7662.

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 October 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.