Northeast Family Health Annex

LBN: Northeast Missouri Health Council Inc
Northeast Family Health Annex is an health care organization with primary practice located at 1410 Crown Dr , Kirksville MO 63501-2548. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Northeast Missouri Health Council Inc can be contacted via phone (660) 627-4493, or through Grimm, Andrew via phone (660) 627-5757.

Contact Information

Primary practice address
1410 Crown Dr Kirksville MO 63501-2548
Phone: (660) 627-4493
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Grimm, Andrew
Phone: (660) 627-5757

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1336679836
LBN Legal business name Northeast Missouri Health Council Inc
DBA Doing business as Northeast Family Health Annex
Authorized official Grimm, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2017
Last updated Jul 10th, 2017 - about 7 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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