SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC NPI 1679041040

NPI Information

NPI: 1679041040
Provider Name: SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC

Doing Business As: MERCY HOSPITAL STODDARD

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
522 VIRGINIA ST
SIKESTON, MO
ZIP 63801
Phone: (573) 624-1901
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SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC is a rural health clinic center in Sikeston, MO. SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC NPI is 1679041040. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Hospital Stoddard.

The provider's business location address is:

522 VIRGINIA ST
SIKESTON, MO
ZIP 63801-812
Phone: (573) 624-1901

The provider's authorized official is Krista Berry .
The authorized official title is Cfo and has the following contact phone number (573) 331-6028.

The enumeration date for this NPI number is 11/5/2018 and was last updated on 2/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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