NORTHEAST FAMILY HEALTH CLINICS
NPI 1104829498
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO

Q: What is Northeast Missouri Health Council, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 31, 2005

1416 CROWN DRIVE, KIRKSVILLE, MO 63501(660) 627-5757(660) 627-5802 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Northeast Family Health Clinics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FAMILY HEALTH CLINICS (NPI 1104829498) is a healthcare organization registered as a federally qualified health center (fqhc) in Kirksville, Missouri and active in the NPI registry since May 2005. The organization lists Andrew H. Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104829498

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC.

Location Address1416 CROWN DRIVEKirksville, MO 63501-2548

Mailing Address1416 Crown DriveKirksville, MO 63501-2548 · (660) 627-5757 · Fax (660) 627-5802

Phone(660) 627-5757

Fax(660) 627-5802

Organization SubpartNo

Authorized OfficialAndrew H. GrimmExecutive Director · (660) 627-5757

Enumeration DateMay 31, 2005

Last NPPES UpdateJune 24, 2011

✔ NPI 1104829498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 2003032101 (MO)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 002241 (MO)

Also ListedDentistTaxonomy 122300000X · License 2001012903 (MO), 2006007559 (MO)

Also ListedDental HygienistTaxonomy 124Q00000X · License 003847 (MO)

Also ListedFamily MedicineTaxonomy 207Q00000X · License R5E64 (MO), 2001023603 (MO), R5C53 (MO), R9D62 (MO)

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2004027805 (MO)

Also ListedPediatricsTaxonomy 208000000X · License 2006022612 (MO), 2005037590 (MO)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 107529 (MO)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 096968 (MO)

1416 CROWN DRIVE, Kirksville, MO 63501

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Other Names 1

Doing Business AsNortheast Family Health Clinics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Family Health Clinics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 29 clinicians reassign Medicare billing to Northeast Family Health Clinics, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Nurse Practitioner8

Family Practice7

Pediatric Medicine4

Obstetrics/Gynecology3

Clinical Social Worker2

Registered Dietitian or Nutrition Professional2

Certified Nurse Midwife (CNM)1

Internal Medicine1

1 other specialty1

Nearest to this location (20)

See all 29

Jessica Miller

Nurse Practitioner

NPI 1003779257