Organization
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Active
Organization
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY, LLC
Active
Parent organization
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Other names
MERCY HOSPITAL STODDARD
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Authorized official
KRISTA BERRY (CFO)
(573) 331-6028
Entity
Organization
Contact information
Practice address
1200 N ONE MILE RD, DEXTER, MO 63841-1000
(573) 624-5566
(573) 614-1966
Mailing address
1200 N ONE MILE RD, DEXTER, MO 63841-1000
(573) 624-5566
(573) 614-1966
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
464-6
MO
Other
Enumeration date
05/29/2008
Last updated
01/13/2024
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