Mercy Hospital Stoddard

LBN: Southeast Health Center Of Stoddard County, Llc
Mercy Hospital Stoddard is an health care organization with primary practice located at 1200 N One Mile Rd , Dexter MO 63841-1000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southeast Health Center Of Stoddard County, Llc can be contacted via phone (573) 624-7575, or through Berry, Krista via phone (573) 331-6028.

Contact Information

Primary practice address
1200 N One Mile Rd Dexter MO 63841-1000
Phone: (573) 624-7575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berry, Krista
Phone: (573) 331-6028

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X Missouri

Profile Details

NPI number 1790828812
LBN Legal business name Southeast Health Center Of Stoddard County, Llc
DBA Doing business as Mercy Hospital Stoddard
Authorized official Berry, Krista
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2007
Last updated Feb 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790828812 NPPES
Missouri MEDICAID 593964901
Missouri Other DC5315

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