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
2002 KANELL BLVD, POPLAR BLUFF, MO 63901-4045
(573) 727-9130
(573) 727-9128
Mailing address
1200 N ONE MILE RD, DEXTER, MO 63841-1015
(573) 614-1938
(573) 624-8895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/27/2013
Last updated
09/16/2025
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