| Southeast Health Center Of Stoddard County Llc | |
|
800 Us Highway 61 New Madrid MO 63869-1106 | |
| (573) 521-2442 | |
| (573) 624-8895 |
| Full Name | Southeast Health Center Of Stoddard County Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Us Highway 61, New Madrid, 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) 614-1900 | Southeast Health Center Of Stoddard County Llc 800 Us Highway 61 New Madrid MO 63869-1106 Ph: (573) 521-2442 |
| NPI Number | 1639736457 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 09/16/2025 |
| Medicare PECOS PAC ID | 7315192515 |
|---|---|
| Medicare Enrollment ID | O20200303002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639736457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Highway 61, New Madrid, MO 63869 Phone: 573-748-2592 Fax: 573-748-2673 | |
Southeast Missouri Health Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 310 Us Highway 61, New Madrid, MO 63869 Phone: 573-688-2165 Fax: 573-313-2505 | |
Ferguson Medical Group Rural Health Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 565 Virginia Ave, New Madrid, MO 63869 Phone: 573-471-0330 Fax: 573-481-5019 | |
Pemiscot County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 Virginia Ave, New Madrid, MO 63869 Phone: 573-748-3107 Fax: 573-748-3112 | |
Missouri Delta Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 Main St, New Madrid, MO 63869 Phone: 573-748-2546 Fax: 573-748-7622 |