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NORTHEAST MISSOURI DENTAL CLINIC
NPI 1972649986
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO

Active since January 29, 2007
402 W JEFFERSON ST, KIRKSVILLE, MO 63501(660) 665-2741(660) 665-3109 Get Directions Write a Review

NPPES record last updated: October 12, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northeast Missouri Dental Clinic NPPES

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

NORTHEAST MISSOURI DENTAL CLINIC (NPI 1972649986) 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 lists Andrew H. Grimm, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972649986
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameNORTHEAST MISSOURI HEALTH COUNCIL, INC.
Location Address402 W JEFFERSON STKirksville, MO 63501-3407
Mailing Address1416 Crown Dr, P O Box 1027Kirksville, MO 63501-2548 · (660) 627-5757 · Fax (660) 627-5802
Phone(660) 665-2741
Fax(660) 665-3109
Organization SubpartYes
Authorized OfficialAndrew H. GrimmExecutive Director · (660) 627-5757
Enumeration DateJanuary 29, 2007
Last NPPES UpdateOctober 12, 2012
✔ NPI 1972649986 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 ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 2001012903 (MO), 2006007559 (MO)
Also ListedDental HygienistTaxonomy 124Q00000X · License 003847 (MO)
402 W JEFFERSON ST, Kirksville, MO 63501
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Other Names 1

Doing Business AsNortheast Missouri Dental Clinic

Other Identifiers 1

Medicaid507477404MO

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 ›

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.

SHOELEH NAVAB-HAMIDI DDS
Dentist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-2741
KELLIE C HERBST RDH
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-2741
TIMOTHY M HERBST DDS
Dentist (Dental Public Health)
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-2741
ROXANA IONAS MD
Pediatrics
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 627-2229
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-3555
MELODIE DAWN STOCKS DO
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-3555
BRENT D SPEAK DO
Obstetrics & Gynecology
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-3555
LACEY BRIANNE ST. CLAIR RDH
Dental Hygienist
402 W JEFFERSON ST
KIRKSVILLE, MO 63501
Adair County (660) 665-2741

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 1972649986. It was assigned to this organization in the NPPES registry on January 29, 2007. The provider is doing business as Northeast Missouri Dental Clinic.

Where is Northeast Missouri Health Council, Inc. located?

Northeast Missouri Health Council, Inc. is located at 402 W Jefferson St, Kirksville, MO 63501. The listed phone number is (660) 665-2741.

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.

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 October 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.