Organization · Type 2 NPI

Southeast Health Center of Stoddard County LLC

Rural Health Clinic/Center · Bloomfield, MO

NPI number 1265575385 Active

Practice location

1003 State Hwy 25 North
Bloomfield, MO 63825

Mailing address

PO Box 368
Dexter, MO 63841-0368

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Rural Health Clinic/Center Primary 261QR1300XNone listed

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About NPI 1265575385

Southeast Health Center of Stoddard County LLC's National Provider Identifier is 1265575385, issued on Feb 15, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Bloomfield, MO. The record was last updated on Sep 16, 2025.