OB/GYN SPECIALTY GROUP/NORTHEAST PEDIATRICS
NPI 1326184334
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 January 29, 2007CLIA 26D0861620 · Waiver

402 W JEFFERSON ST, KIRKSVILLE, MO 63501(660) 665-3555 Get Directions Write a Review

NPPES record last updated: October 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ob/gyn Specialty Group/northeast Pediatrics NPPES

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

OB/GYN SPECIALTY GROUP/NORTHEAST PEDIATRICS (NPI 1326184334) is a healthcare organization registered as a federally qualified health center (fqhc) in Kirksville, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through October 2, 2026 and lists Andrew H. Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326184334

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC.

Location Address402 W JEFFERSON STKirksville, MO 63501-3407

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

Phone(660) 665-3555

Organization SubpartNo

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

Enumeration DateJanuary 29, 2007

Last NPPES UpdateOctober 30, 2012

✔ NPI 1326184334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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

Taxonomy Code261QF0400X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License R5810 (MO), 2004027805 (MO), 2009006697 (MO)

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

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 2009001623 (MO)

402 W JEFFERSON ST, Kirksville, MO 63501

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Other Names 1

Doing Business AsOb/gyn Specialty Group/northeast Pediatrics

Other Identifiers 3

Medicaid503351801MO

Medicare PIN000011740

Medicare OSCAR/certification261811MO

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 26D0861620

Ob/Gyn Specialty Group · Kirksville, MO

Active · expires Oct 2, 2026

CLIA Number26D0861620

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorBrent Speak

Laboratory Phone(660) 665-3555

Laboratory LocationOb/Gyn Specialty Group402 West Jefferson, Suite B, Kirksville, MO 63501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ROXANA IONAS MD

Pediatrics