Northeast Family Health Clinics

LBN: Northeast Missouri Health Council, Inc.
Northeast Family Health Clinics is an health care organization with primary practice located at 1416 Crown Drive , Kirksville MO 63501-2548. The organization recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Dental Providers / Dentist, Dental Providers / Dental Hygienist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Northeast Missouri Health Council, Inc. can be contacted via phone (660) 627-5757, or through Grimm, Andrew H. via phone (660) 627-5757.

Contact Information

Primary practice address
1416 Crown Drive Kirksville MO 63501-2548
Phone: (660) 627-5757
Fax: (660) 627-5802
Website:
Map and Directions
Authorized official contact:
Name: Grimm, Andrew H.
Phone: (660) 627-5757

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2003032101 Missouri
Behavioral Health & Social Service Providers / Clinical 1041C0700X 002241 Missouri
Dental Providers / Dentist 122300000X 2001012903 Missouri
Dental Providers / Dentist 122300000X 2006007559 Missouri
Dental Providers / Dental Hygienist 124Q00000X 003847 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5E64 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2001023603 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5C53 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R9D62 Missouri
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2004027805 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006022612 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2005037590 Missouri
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 107529 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 096968 Missouri

Profile Details

NPI number 1104829498
LBN Legal business name Northeast Missouri Health Council, Inc.
DBA Doing business as Northeast Family Health Clinics
Authorized official Grimm, Andrew H.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Jun 24th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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