Organization
NORTHEAST MISSOURI HEALTH COUNCIL INC
Active
Other names
Northeast Family Health Annex
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GRIMM (CEO)
(660) 627-5757
Entity
Organization
Contact information
Practice address
1410 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-4493
Mailing address
1416 CROWN DR, KIRKSVILLE, MO 63501-2548
(660) 627-5757
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
06/16/2017
Last updated
07/10/2017
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