Organization · Type 2 NPI
Northeast Missouri Health Council Inc
Federally Qualified Health Center (FQHC) · Milan, MO
NPI number
1144366154
Active
Practice location
52334 Business Highway 5
Milan, MO 63556-3040
Fax (660) 265-1043
Mailing address
1416 Crown Dr
Kirksville, MO 63501-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 109328 (MO) |
| Obstetrics & Gynecology Physician | 207V00000X | 2009006697 (MO) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1144366154
Northeast Missouri Health Council Inc's National Provider Identifier is 1144366154, issued on Jan 29, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Milan, MO. The record was last updated on Jun 24, 2011.