# NORTHEAST MISSOURI HEALTH COUNCIL, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHEAST MISSOURI HEALTH COUNCIL, INC.
- **Other names:** Northeast Missouri Family Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235275249
- **Legal business name:** NORTHEAST MISSOURI HEALTH COUNCIL, INC.
- **Authorized official:** ANDREW H. GRIMM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (660) 627-5757

## Contact information

- **Practice address:** RR 1 BOX 55, SIGLER AVENUE, MEMPHIS, MO 63555-9726
- **Practice address phone:** (660) 465-7037
- **Practice address fax:** (660) 465-7350
- **Mailing address:** 314 E MCPHERSON ST, KIRKSVILLE, MO 63501-3557
- **Mailing address phone:** (660) 627-5757
- **Mailing address fax:** (660) 627-5802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2001023603 | MO | Yes |
| 363L00000X | Nurse Practitioner | 076376 | MO | — |

## Other

- **Enumeration date:** 01/29/2007
- **Last updated:** 04/01/2009