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NORTHEAST MISSOURI FAMILY HEALTH CLINIC
NPI 1144366154
Clinic/Center - Federally Qualified Health Center (FQHC) in Milan, MO

Active since January 29, 2007CLIA 26D0985653 · Waiver
52334 BUSINESS HIGHWAY 5, MILAN, MO 63556(660) 265-1042(660) 265-1043 Get Directions Write a Review

NPPES record last updated: June 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northeast Missouri Family Health Clinic NPPES

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

NORTHEAST MISSOURI FAMILY HEALTH CLINIC (NPI 1144366154) is a healthcare organization registered as a federally qualified health center (fqhc) in Milan, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Andrew H. Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1144366154
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL INC
Location Address52334 BUSINESS HIGHWAY 5Milan, MO 63556-3040
Mailing Address1416 Crown DrKirksville, MO 63501-2548 · (660) 627-5757 · Fax (660) 627-5802
Phone(660) 265-1042
Fax(660) 265-1043
Organization SubpartNo
Authorized OfficialAndrew H. GrimmExecutive Director · (660) 627-5757
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJune 24, 2011
✔ NPI 1144366154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 109328 (MO)
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 2009006697 (MO)
52334 BUSINESS HIGHWAY 5, Milan, MO 63556
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Other Names 1

Doing Business AsNortheast Missouri Family Health Clinic

Other Identifiers 3

Medicare PIN000014157
Medicaid503351850MO
Medicare OSCAR/certification261866MO

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 Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0985653

Northeast Missouri Family Health · Milan, MO
Active · expires Apr 24, 2027
CLIA Number26D0985653
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorMelanie Grgurich
Laboratory Phone(660) 265-1042
Laboratory LocationNortheast Missouri Family Health52334 S Business Hwy 5, Milan, MO 63556
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA DAWN WILFORD FNP-BC
Nurse Practitioner (Family)
52334 BUSINESS HIGHWAY 5
MILAN, MO 63556
Sullivan County (660) 265-1042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Missouri Health Council Inc's NPI number?

The NPI number for Northeast Missouri Health Council Inc is 1144366154. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Northeast Missouri Family Health Clinic.

Where is Northeast Missouri Health Council Inc located?

Northeast Missouri Health Council Inc is located at 52334 Business Highway 5, Milan, MO 63556. The listed phone number is (660) 265-1042.

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.

Does Northeast Missouri Health Council Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0985653) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northeast Missouri Health Council Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Northeast Missouri Health Council Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Missouri Health Council Inc was last updated on June 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.