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 1780927871

Southeast Health Center of Stoddard County, LLC is a Family Medicine Physician in Poplar Bluff, Missouri. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2002 Kanell Blvd
Poplar Bluff, MO 63901-4045
Phone: (573) 727-9130
Fax: (573) 727-9128
Show map & directions

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 number1780927871
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedMarch 27, 2013
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1200 N One Mile Rd, Dexter, MO 63841-1015

Other providers in Poplar Bluff