Organization · Type 2 NPI

Southeast Health Center of Stoddard County, LLC

Rural Health Clinic/Center · Poplar Bluff, MO

NPI number 1780927871 Active

Practice location

2002 Kanell Blvd
Poplar Bluff, MO 63901-4045

Fax (573) 727-9128

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

Rural Health Clinic/Center: Definition to come...

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About NPI 1780927871

Southeast Health Center of Stoddard County, LLC's National Provider Identifier is 1780927871, issued on Mar 27, 2013. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 16, 2025.