National Provider Identifier Database

NORTHEAST MISSOURI HEALTH COUNCIL INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

NORTHEAST MISSOURI HEALTH COUNCIL, INC.
402 W JEFFERSON ST
KIRKSVILLE, MO63501-3407
Phone: 660-665-2741
Fax: 660-665-3109
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Dental Hygienist 124Q00000X
Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for NORTHEAST MISSOURI HEALTH COUNCIL, INC.

NPI Number 1972649986
Legal business name
LBN
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Authorized official ANDREW GRIMM - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 01/29/2007
Last updated 10/12/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 003847
  • MO License #: 2001012903
  • MO License #: 2006007559
  • MO Medicaid: 507477404

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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