| Southeast Health Center Of Stoddard County Llc | |
|
522 Virginia St Sikeston MO 63801-5812 | |
| (573) 624-1901 | |
| Not Available |
| Full Name | Southeast Health Center Of Stoddard County Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 522 Virginia St, Sikeston, 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 522 Virginia St Sikeston MO 63801-5812 Ph: (573) 624-1901 |
| NPI Number | 1679041040 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 09/16/2025 |
| Medicare PECOS PAC ID | 7315192515 |
|---|---|
| Medicare Enrollment ID | O20190103001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679041040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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