SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
NPI 1790828812
Clinic/Center - Rural Health in Dexter, MO

Active since February 15, 2007
1200 N ONE MILE RD, DEXTER, MO 63841(573) 624-7575 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 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 1790828812), doing business as Mercy Hospital Stoddard, is a healthcare organization registered as a rural health in Dexter, Missouri and active in the NPI registry since February 2007. The organization lists Krista Berry, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790828812
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Location Address1200 N ONE MILE RDDexter, MO 63841-1000
Mailing Address1200 N One Mile RdDexter, MO 63841-1015 · (573) 624-7575
Organization SubpartNo
Authorized OfficialKrista BerryCfo · (573) 331-6028
Enumeration DateFebruary 15, 2007
Last NPPES UpdateSeptember 16, 2025
NPPES CertifiedSeptember 16, 2025
NPI 1790828812 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
1200 N ONE MILE RD, Dexter, MO 63841

Other Names 1

Doing Business AsMercy Hospital Stoddard

Other Identifiers 2

Medicaid593964901MO
OtherDC5315MO · Railroad Medicare

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 18

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

Family Medicine
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD, EMERGENCY DEPARTMENT
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD
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 1790828812. It was assigned to this organization in the NPPES registry on February 15, 2007. 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 1200 N One Mile Rd, Dexter, MO 63841. The listed phone number is (573) 624-7575.

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 with the weekly NPPES data releases published by CMS.