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Southeast Health Center of Stoddard County LLC

Rural Health Clinic/Center in Dexter, MO · enumerated 2007 · authorized official Kathy Vickery, Vice President Regional Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629111729

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Registry record

Entity type Organization (Type 2)
Legal business name Southeast Health Center of Stoddard County LLC
Other name <Unavail>
Practice address 1300 N One Mile Rd, Dexter, MO, 63841
Enumeration date Feb 15, 2007
Last updated in NPPES Dec 1, 2015

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Kathy Vickery
Title Vice President Regional Operations

Other identifiers

Identifier Type State Issuer
595968900 Medicaid MO -
DC5219 Other - RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Southeast Health Center of Stoddard County LLC?
NPPES lists Kathy Vickery (Vice President Regional Operations) as the authorized official for this organization.
What is the NPI number for Southeast Health Center of Stoddard County LLC?
The NPI for Southeast Health Center of Stoddard County LLC is 1629111729, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-01.