| Southeast Health Center Of Stoddard County, Llc | |
|
1200 N One Mile Rd Dexter MO 63841-1000 | |
| (573) 624-7575 | |
| Not Available |
| Full Name | Southeast Health Center Of Stoddard County, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 N One Mile Rd, Dexter, Missouri |
| Authorized Official Name and Position | Krista Berry (CFO) |
| Authorized Official Contact | 5733316028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Health Center Of Stoddard County, Llc 1200 N One Mile Rd Dexter MO 63841-1015 Ph: (573) 624-7575 | Southeast Health Center Of Stoddard County, Llc 1200 N One Mile Rd Dexter MO 63841-1000 Ph: (573) 624-7575 |
| NPI Number | 1790828812 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 09/16/2025 |
| Medicare PECOS PAC ID | 7315192515 |
|---|---|
| Medicare Enrollment ID | O20130219000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790828812 | NPI | - | NPPES |
| 593964901 | Medicaid | MO | |
| DC5315 | Other | MO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (Missouri) | Primary |
Stoddard County Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Dexter, MO 63841 Phone: 573-624-1640 | |
Davis Health & Wellness Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 808 Speciality Dr Ste A, Dexter, MO 63841 Phone: 573-891-1250 Fax: 573-891-1320 | |
Practice Tee, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1523 W Business Hwy 60, Dexter, MO 63841 Phone: 573-624-8447 | |
Dexter Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 W Bus Hwy 60, Dexter, MO 63841 Phone: 573-624-7575 Fax: 573-624-6399 | |
Southeast Health Center Of Stoddard County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2025 W Business Us Highway 60, Dexter, MO 63841 Phone: 573-614-4600 Fax: 573-614-4606 | |
Dexter Hosptial Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 N One Mile Rd, Suite 1, Dexter, MO 63841 Phone: 573-624-7788 | |
Southeast Health Center Of Stoddard County Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1200 N One Mile Road, Dexter, MO 63841 Phone: 573-614-1900 Fax: 573-624-8895 |