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

Southeast Health Center of Stoddard County LLC

Organization Family Medicine Physician · NPI 1679041040

Southeast Health Center of Stoddard County LLC is a Family Medicine Physician in Sikeston, Missouri. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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

522 Virginia St
Sikeston, MO 63801-5812
Phone: (573) 624-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1679041040
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedNovember 5, 2018
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1200 N One Mile Rd, Dexter, MO 63841-1015

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