NORTHEAST MISSOURI FAMILY HEALTH CLINIC
NPI 1881730893
Clinic/Center - Federally Qualified Health Center (FQHC) in Edina, MO
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
Specialties & Licenses 2
Other Names 1
Other Identifiers 5
Group Practice 1
Accepted 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 Missouri Family Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
30Medicare enrollment records show 30 clinicians reassign Medicare billing to Northeast Missouri Family Health Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 30Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MOFrequently 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.
Is Northeast Missouri Health Council, Inc. enrolled in Medicare?
Yes. Northeast Missouri Health Council, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Missouri Health Council, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 30 clinicians in 9 Medicare specialties reassign their Medicare billing to Northeast Missouri Health Council, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (7) and Pediatric Medicine (4). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer 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.
# Northeast Missouri Family Health Clinic · NPI 1881730893
Federally Qualified Health Center (FQHC) organization in Edina, Missouri. Organization record, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1881730893 (Entity type: Organization)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Northeast Missouri Health Council, Inc.
- **Organization subpart:** Yes (part of Northeast Missouri Health Council, Inc.)
- **Authorized official:** Andrew Grimm, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 104 E JACKSON ST, Edina, MO 63537-1335
- **Phone:** (660) 397-3517 · **Fax:** (660) 397-2307
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 30 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (7), Pediatric Medicine (4); 2 practice at this address; [full list](https://npiprofile.com/npi/1881730893/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2015
- **Other identifiers:** Medicare PIN 000012165 (MO); Medicare OSCAR/certification 261821 (MO); Medicare PIN 008012165 (MO); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881730893) · Data from the CMS NPPES public registry.