Southeast Health Center of Stoddard County, LLC
NPI 1790828812 · Rural Health Clinic/Center · Dexter, MO
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southeast Health Center of Stoddard County, LLC is a Rural Health Clinic/Center organization in Dexter, MO (NPI 1790828812).
Provider details
- NPI number
- 1790828812
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Krista Berry, Cfo(573) 331-6028
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mercy Hospital Stoddard
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Frequently asked questions
- What is Southeast Health Center of Stoddard County, LLC's NPI number?
- Southeast Health Center of Stoddard County, LLC's National Provider Identifier (NPI) is 1790828812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeast Health Center of Stoddard County, LLC?
- Southeast Health Center of Stoddard County, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southeast Health Center of Stoddard County, LLC located?
- Southeast Health Center of Stoddard County, LLC's practice location on file with NPPES is 1200 N One Mile Rd, Dexter, MO 63841-1000.
- What is Southeast Health Center of Stoddard County, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southeast Health Center of Stoddard County, LLC is (573) 624-7575.
- Does Southeast Health Center of Stoddard County, LLC accept Medicare?
- Southeast Health Center of Stoddard County, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southeast Health Center of Stoddard County, LLC?
- The authorized official listed on Southeast Health Center of Stoddard County, LLC's NPPES record is Krista Berry, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeast Health Center of Stoddard County, LLC's NPI active?
- Yes — Southeast Health Center of Stoddard County, LLC's NPI (1790828812) is active in the NPPES registry as of the last update on 2025-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.