MACON DENTAL
NPI 1215311352
Clinic/Center - Federally Qualified Health Center (FQHC) in Macon, 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 July 18, 2015

209 N MISSOURI ST, MACON, MO 63552(660) 627-5757(660) 627-5802 Get Directions Write a Review

NPPES record last updated: July 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Macon Dental NPPES

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

MACON DENTAL (NPI 1215311352) is a healthcare organization registered as a federally qualified health center (fqhc) in Macon, Missouri and active in the NPI registry since July 2015. The organization lists Andrew H Grimm, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215311352

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC

Location Address209 N MISSOURI STMacon, MO 63552-2151

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

Phone(660) 627-5757

Fax(660) 627-5802

Organization SubpartNo

Authorized OfficialAndrew H GrimmCeo · (660) 627-5757

Enumeration DateJuly 18, 2015

✔ NPI 1215311352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QF0400X

209 N MISSOURI ST, Macon, MO 63552

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Other Names 1

Doing Business AsMacon Dental

Other Providers at the Same Location NPPES 6

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

SHANNON M SIMS RDH

Dental Hygienist