NORTHEAST MISSOURI FAMILY HEALTH CLINIC
NPI 1881730893
Clinic/Center - Federally Qualified Health Center (FQHC) in Edina, 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 26D0441634 · Waiver

104 E JACKSON ST, EDINA, MO 63537(660) 397-3517(660) 397-2307 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1881730893) is a healthcare organization registered as a federally qualified health center (fqhc) in Edina, Missouri and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Andrew H. Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881730893

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC.

Location Address104 E JACKSON STEdina, MO 63537-1335

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

Phone(660) 397-3517

Fax(660) 397-2307

Organization SubpartYes

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

Enumeration DateJanuary 29, 2007

Last NPPES UpdateNovember 11, 2015

✔ NPI 1881730893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X · License 107529 (MO), R9D62 (MO)

104 E JACKSON ST, Edina, MO 63537

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Other Names 1

Doing Business AsNortheast Missouri Family Health Clinic

Other Identifiers 5

Medicare PIN000012165MO

Medicare OSCAR/certification261821MO

Medicare PIN008012165MO

Medicaid503351819MO

Medicare PIN121650002MO

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 26D0441634

Northeast Missouri Family Health · Edina, MO

Active · expires Mar 6, 2028

CLIA Number26D0441634

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateMarch 7, 2026

Certificate Expiration DateMarch 6, 2028

Laboratory DirectorHannah J. Braungardt

Laboratory Phone(660) 397-3517

Laboratory LocationNortheast Missouri Family Health104 East Jackson, Edina, MO 63537

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

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

DR. HANNAH JO BRAUNGARDT DO

Family Medicine

104 E JACKSON ST
EDINA, MO 63537

Knox County (660) 397-3517

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 1881730893. 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 104 E Jackson St, Edina, MO 63537. The listed phone number is (660) 397-3517.

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 26D0441634) is associated with this NPI, valid through March 6, 2028. 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 2 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 November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.