Organization · Type 2 NPI

Southeast Health Center of Stoddard County LLC

Rural Health Clinic/Center · New Madrid, MO

NPI number 1639736457 Active

Practice location

800 US Highway 61
New Madrid, MO 63869-1106

Fax (573) 624-8895

Mailing address

1200 N One Mile Rd
Dexter, MO 63841-1015

Specialties and licenses

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

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About NPI 1639736457

Southeast Health Center of Stoddard County LLC's National Provider Identifier is 1639736457, issued on May 28, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in New Madrid, MO. The record was last updated on Sep 16, 2025.