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SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI 1780927871
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since March 27, 2013
2002 KANELL BLVD, POPLAR BLUFF, MO 63901(573) 727-9130(573) 727-9128 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 9, 2015 (2 updates tracked since 2015).

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 1780927871), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since March 2013. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780927871
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Location Address2002 KANELL BLVDPoplar Bluff, MO 63901-4045
Mailing Address1200 N One Mile RdDexter, MO 63841-1015 · (573) 614-1938 · Fax (573) 624-8895
Phone(573) 727-9130
Fax(573) 727-9128
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateMarch 27, 2013
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1780927871 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
2002 KANELL BLVD, Poplar Bluff, MO 63901
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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 16

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

ROBERT C YOUNG, MD, FACOG
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-9864
SOUTHEASTHEALTH HOSPITAL HOLDINGS, LLC
Family Medicine
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 778-0020
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Clinic/Center
2002 KANELL BLVD, SUITE 101
POPLAR BLUFF, MO 63901
Butler County (573) 778-9292
ROBERT C YOUNG
Obstetrics & Gynecology
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-9864
ADVANCED HEALTH CARE MANAGEMENT SERVICES, LLC
Clinic/Center (Podiatric)
2002 KANELL BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 785-4959
SOUTHEAST HEALTH PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, STE 102
POPLAR BLUFF, MO 63901
Butler County (573) 778-1608
ADVANCED HEALTHCARE MANAGEMENT SERVICES, LLC
Pharmacy (Community/Retail Pharmacy)
2002 KANELL BLVD, SUITE 102
POPLAR BLUFF, MO 63901
Butler County (573) 778-1608
DR. ZACKWRIE S PARR D.P.M.
Podiatrist (Foot & Ankle Surgery)
2002 KANELL BLVD, SUITE 201
POPLAR BLUFF, MO 63901
Butler County (573) 785-4959

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 1780927871. It was assigned to this organization in the NPPES registry on March 27, 2013. 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 2002 Kanell Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 727-9130.

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.