Organization
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Active
Other names
MERCY HOSPITAL STODDARD
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
500 N DOUGLASS ST, MALDEN, MO 63863-1506
(573) 276-2221
Mailing address
500 N DOUGLASS ST, MALDEN, MO 63863-1506
(573) 276-2221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316240096
—
MO
Enumeration date
12/17/2010
Last updated
09/16/2025
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