Organization · Type 2 NPI

Northeast Missouri Health Council, Inc.

Federally Qualified Health Center (FQHC) · Kirksville, MO

NPI number 1104829498 Active

Practice location

1416 Crown Drive
Kirksville, MO 63501-2548

Call (660) 627-5757 Map

Fax (660) 627-5802

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X2003032101 (MO)
Clinical Social Worker 1041C0700X002241 (MO)
Dentist 122300000X2001012903 (MO)
Dentist 122300000X2006007559 (MO)
Dental Hygienist 124Q00000X003847 (MO)
Family Medicine Physician 207Q00000XR5E64 (MO)
Family Medicine Physician 207Q00000X2001023603 (MO)
Family Medicine Physician 207Q00000XR5C53 (MO)
Family Medicine Physician 207Q00000XR9D62 (MO)
Obstetrics & Gynecology Physician 207V00000X2004027805 (MO)
Pediatrics Physician 208000000X2006022612 (MO)
Pediatrics Physician 208000000X2005037590 (MO)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Nurse Practitioner 363L00000X107529 (MO)
Family Nurse Practitioner 363LF0000X096968 (MO)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1104829498

Northeast Missouri Health Council, Inc.'s National Provider Identifier is 1104829498, issued on May 31, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Kirksville, MO. The record was last updated on Jun 24, 2011.