# SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY HOSPITAL STODDARD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639736457
- **Authorized official:** KRISTA BERRY (CFO)
- **Authorized official phone:** (573) 331-6028

## Contact information

- **Practice address:** 800 US HIGHWAY 61, NEW MADRID, MO 63869-1106
- **Practice address phone:** (573) 521-2442
- **Practice address fax:** (573) 624-8895
- **Mailing address:** 1200 N ONE MILE RD, DEXTER, MO 63841-1015
- **Mailing address phone:** (573) 614-1900
- **Mailing address fax:** (573) 624-8895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/28/2019
- **Last updated:** 09/16/2025