Organization
NORTHEAST MISSOURI HEALTH COUNCIL, INC
Active
Other names
Macon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW H GRIMM (CEO)
(660) 627-5757
Entity
Organization
Contact information
Practice address
209 N MISSOURI ST, MACON, MO 63552-2151
(660) 627-5757
(660) 627-5802
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
(660) 627-5802
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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