Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southeast Health Center of Stoddard County LLC

Organization Emergency Medicine Physician · NPI 1477997567

Southeast Health Center of Stoddard County LLC is an Emergency Medicine Physician in Dexter, Missouri. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 N One Mile Rd
Dexter, MO 63841-1000
Phone: (573) 614-1900
Fax: (573) 624-8895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1477997567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedApril 19, 2013
Last updated in NPPESJanuary 13, 2024
Certification dateJanuary 13, 2024
Mailing addressPo Box 368, Dexter, MO 63841-1000

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