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 1790828812

Southeast Health Center of Stoddard County, LLC is a Family Medicine Physician in Dexter, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

1200 N One Mile Rd
Dexter, MO 63841-1000
Phone: (573) 624-7575
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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 (MO)
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1790828812
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krista Berry — Cfo · (573) 331-6028
Other names Mercy Hospital Stoddard
NPI enumeratedFebruary 15, 2007
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025
Mailing address1200 N One Mile Rd, Dexter, MO 63841-1015

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