# 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:** 1801990825
- **Authorized official:** KRISTA BERRY (CFO)
- **Authorized official phone:** (573) 331-6028

## Contact information

- **Practice address:** 1200 N ONE MILE RD, DEXTER, MO 63841-1000
- **Practice address phone:** (573) 624-5566
- **Mailing address:** 1200 N ONE MILE RD, DEXTER, MO 63841-1000
- **Mailing address phone:** (573) 624-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 464-5 | MO | Yes |

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 01/13/2024