NORTHEAST MISSOURI HEALTH COUNCIL, INC. (NPI# 1104829498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104829498 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MISSOURI HEALTH COUNCIL, INC. |
| Other Organization Name | NORTHEAST FAMILY HEALTH CLINICS |
| Practice Address |
1416 Crown Drive Kirksville MO 63501-2548 |
| Practice Telephone | 6606275757 |
| Practice Fax Number | 6606275802 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-06-24 |
| Authorized Official Name | ANDREW H. GRIMM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6606275757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
2003032101 | MO | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
002241 | MO | Behavioral Health & Social Service Providers |
| N | 122300000X | Dentist | 2001012903 | MO | Dental Providers |
| N | 122300000X | Dentist | 2006007559 | MO | Dental Providers |
| N | 124Q00000X | Dental Hygienist | 003847 | MO | Dental Providers |
| N | 207Q00000X | Family Medicine | R5E64 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2001023603 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R5C53 | MO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | R9D62 | MO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 2004027805 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2006022612 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 2005037590 | MO | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 107529 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
096968 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
MO | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Northeast Family Health Clinics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852960 | Northeast Missouri Health Council, Inc. | Social Worker | 314 E Mcpherson St, Kirksville, MO 63501-3557 | 2011-03-23 |
| 1548588932 | Northeast Missouri Health Council, Inc. | Social Worker | 159 E Commercial St, Kahoka, MO 63445-1701 | 2010-05-10 |
| 1457634594 | Northeast Missouri Health Council, Inc. | Dentist | 248 N Morgan St, Kahoka, MO 63445-1433 | 2011-09-26 |
| 1609059815 | Northeast Missouri Health Council, Inc. | Counselor | 1510 Crown Drive, Kirksville, MO 63501-4002 | 2007-12-11 |
| 1083897292 | Northeast Missouri Health Council, Inc. | Social Worker | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 2007-12-11 |
| 1255510699 | Northeast Missouri Health Council, Inc. | Counselor | 1510 Crown Drive, Kirksville, MO 63501-2437 | 2007-11-02 |
| 1326184334 | Northeast Missouri Health Council, Inc. | Obstetrics & Gynecology | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2007-01-29 |
| 1235275249 | Northeast Missouri Health Council, Inc. | Nurse Practitioner | Rr 1 Box 55, Sigler Avenue, Memphis, MO 63555-9726 | 2007-01-29 |
| 1972649986 | Northeast Missouri Health Council, Inc. | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2007-01-29 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| Street Address |
1416 CROWN DRIVE |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-2548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952798530 | Northeast Missouri Health Council, Inc | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2015-04-21 |
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| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.