SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC


Address: 800 Us Highway 61, New Madrid, MO 63869-1106
Phone: 5735212442

SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC (NPI# 1639736457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639736457
Entity Type Organization
Organization Name SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC
Other Organization Name SOUTHEASTHEALTH NEW MADRID CLINIC
Practice Address 800 Us Highway 61
New Madrid
MO 63869-1106
Mailing Address 1200 N One Mile Rd
Dexter
MO 63841-1000
Practice Telephone 5735212442
Practice Fax Number 5736248895
Mailing Telephone 5736141900
Mailing Fax Number 5736248895
Enumeration Date 2019-05-28
Last Update Date 2019-07-26
Authorized Official Name SUE A WILLIAMS (CEO)
Authorized Official Telephone 5736241900
Is Organization Subpart Y
Parent Organization Name SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
SoutheastHEALTH New Madrid Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477997567 Southeast Health Center of Stoddard County LLC Emergency Medicine 1200 N One Mile Road, Dexter, MO 63841-1000 2013-04-19
1265575385 Southeast Health Center of Stoddard County LLC Clinic/Center 1003 State Hwy 25 North, Bloomfield, MO 63825 2007-02-15
1679041040 Southeast Health Center of Stoddard County LLC Clinic/Center 522 Virginia St, Sikeston, MO 63801-5812 2018-11-05
1679820286 Southeast Health Center of Stoddard County LLC Clinic/Center 810 N Walnut St, Bernie, MO 63822-8901 2012-08-14
1629111729 Southeast Health Center of Stoddard County LLC Clinic/Center 1300 N One Mile Rd, Dexter, MO 63841-1042 2007-02-15

Office Location

Street Address 800 US HIGHWAY 61
City NEW MADRID
State MO
Zip Code 63869-1106

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558924845 Sierra Elaine Holiman Nurse Practitioner 800 Us Hwy 61, New Madrid, MO 63869 2019-04-22
1083143325 Family Matters Home Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 985 Ramsey Lane, New Madrid, MO 63869 2017-06-09
1174849491 Lorenzo Antonio Aquino Tolentino Physical Therapist 1050 Dawson Road, New Madrid, MO 63869 2010-04-12
1043467285 Betty Ann Cagle Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 131 St. Thomas Lane, New Madrid, MO 63869 2008-08-19
1932372646 Pemiscot County Memorial Hospital Clinic/Center 555 Virginia Ave, New Madrid, MO 63869 2008-04-03
1629138425 Timothy P Rausch Dentist 645 Us Hwy 61, New Madrid, MO 63869 2006-12-11
1821628850 Family Matters In Home LLC In Home Supportive Care 415 Main St, New Madrid, MO 63869 2020-01-17
1508314907 Family Matters Cds LLC Home Health 413 Main Street, New Madrid, MO 63869 2016-09-14
1649657495 Trusted Hands Direct LLC In Home Supportive Care 1 Courthouse Square, New Madrid, MO 63869 2015-04-30
1598161739 Trusted Hands In Home Supportive Services In Home Supportive Care 1 Courthouse Square, New Madrid, MO 63869 2014-11-17
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932372646 Pemiscot County Memorial Hospital Clinic/Center 555 Virginia Ave, New Madrid, MO 63869 2008-04-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871102137 Washington County Memorial Hospital Clinic/Center 14206 Hwy C, Belgrade, MO 63622 2020-07-23
1891325072 Scotland County Memorial Hospital Clinic/Center 55682 State Highway 6 Ste A, Edina, MO 63537-4268 2020-01-16
1134633456 Pike County Memorial Hospital Clinic/Center 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 2017-11-22
1720505894 Perry County Health System Clinic/Center 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 2017-08-29
1427572007 Missouri Delta Medical Center Clinic/Center 209 W Yoakum Ave, Chaffee, MO 63740-1138 2017-07-26
1790213676 Jackson Primary Care LLC Clinic/Center 2685 E Main St Ste A, Jackson, MO 63755-2474 2017-05-23
1972050581 Sgoh Acquisition, Inc. Clinic/Center 912b State Highway 59, Goodman, MO 64843-8252 2016-09-01
1144605312 Nevada City Hospital Clinic/Center 627 S Ash St Ste B, Nevada, MO 64772 2015-07-29
1669856829 Ssm Regional Health Services Clinic/Center 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 2015-07-16
1831515907 Marble Hill Medical Clinic, LLC Clinic/Center 307 Broadway St., Marble Hill, MO 63764-8321 2014-03-12
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Competitor

Search similar providers

City NEW MADRID
Zip Code 63869

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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