SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC (NPI# 1679041040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679041040 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HEALTH CENTER OF STODDARD COUNTY LLC |
| Other Organization Name | SOUTHEASTHEALTH SIKESTON CLINIC |
| Practice Address |
522 Virginia St Sikeston MO 63801-5812 |
| Mailing Address |
1200 N One Mile Rd Dexter MO 63841-1000 |
| Practice Telephone | 5736241901 |
| Mailing Telephone | 5736141900 |
| Mailing Fax Number | 5736248895 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-15 |
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southeast Pediatrics of Sikeston | Doing Business As Name - Organization |
| SoutheastHEALTH Sikeston Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 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 |
| 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 |
| Street Address |
522 VIRGINIA ST |
| City | SIKESTON |
| State | MO |
| Zip Code | 63801-5812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134117328 | Hugh Raymond Protzel | Podiatrist | 522 Virginia St, Sikeston, MO 63801-5812 | 2005-10-11 |
| 1477848612 | Accent Podiatry | Podiatrist | 522 Virginia St, Sikeston, MO 63801-5812 | 2011-06-16 |
| 1346389749 | Missouri Delta Foot and Ankle Centers, Inc | Durable Medical Equipment & Medical Supplies | 522 Virginia St, Sikeston, MO 63801-5812 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689285082 | Logan & Seiler Inc | Pharmacy | 102 Hospitality Drive, Suite B, Sikeston, MO 63801 | 2020-08-11 |
| 1992212153 | Sharaye Gilmore | Social Worker | 135 Plaza Dr Suite 102, Sikeston, MO 63801 | 2018-01-09 |
| 1730606385 | Megan Leann Schlosser | Occupational Therapy Assistant | Kenny Rogers Children's Center, 300 Floyd Dr., Sikeston, MO 63801 | 2017-08-24 |
| 1780130930 | Delta South Adult Care Center LLC | Clinic/Center | 640 Colonel George E Day Parkway, Sikeston, MO 63801 | 2016-08-28 |
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1134361868 | Sikeston Rehab, LLC | Physical Therapy Assistant | 806 S. Kingshighway, Sikeston, MO 63801 | 2009-03-26 |
| 1508066978 | Paula Kaye Beck | Occupational Therapist | 2016 Oklahoma Ave, Sikeston, MO 63801 | 2007-07-23 |
| 1740497551 | James D West | Audiologist | 903 South Kingshighway, Sikeston, MO 63801 | 2007-05-17 |
| 1619190162 | Syed Muhammad Shahab Sayeed | Psychiatry & Neurology | 1008 N Main, Missouri Delta Medical Centre, Sikeston, MO 63801 | 2007-04-11 |
| 1629195607 | Melissa A Stewart | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 106 Dacus, Sikeston, MO 63801 | 2007-03-23 |
| Find all providers in zip 63801 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013236421 | Missouri Delta Medical Center | Clinic/Center | 1013 North Main, Sikeston, MO 63801 | 2010-05-25 |
| 1871598391 | Sikeston Urgent Care PC | Clinic/Center | 918 S Kingshighway St, Sikeston, MO 63801-4416 | 2005-06-21 |
| 1871887646 | Sikeston Rural Health Center LLC | Clinic/Center | 1226 Linn St, Suite B, Sikeston, MO 63801-5200 | 2011-06-08 |
| 1497064547 | Bootheel Counseling Services | Clinic/Center | 760 Plantation Blvd, Sikeston, MO 63801-5736 | 2010-10-06 |
| 1134430176 | Missouri Delta Medical Center | Clinic/Center | 135 Plaza Dr, Suite 102, Sikeston, MO 63801-5136 | 2010-06-24 |
| 1386879351 | Family First Medical Center, Inc | Clinic/Center | 1226 Linn St, Suite F, Sikeston, MO 63801-5200 | 2009-05-20 |
| 1174789549 | Missouri Delta Medical Center | Clinic/Center | 123 Smith Ave, Sikeston, MO 63801-5239 | 2008-08-05 |
| 1619145612 | Family Medicine of Southeast Missouri, LLC | Clinic/Center | 808 E Wakefield Ave, Sikeston, MO 63801-5147 | 2008-02-13 |
| 1760500862 | Managed Care Inc | Clinic/Center | 808 Hunter, Suite 4, Sikeston, MO 63801-2248 | 2007-03-27 |
| 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 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 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 |
| Find all providers with the same taxonomy | ||||
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| 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.