Organization · Type 2 NPI
Northeast Missouri Health Council Inc
Federally Qualified Health Center (FQHC) · Kirksville, MO
NPI number
1962548974
Active
Practice location
1506 Crown Drive
Kirksville, MO 63501
Fax (660) 627-4288
Mailing address
1416 Crown Drive
Kirksville, MO 63501-2548
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 002241 (MO) |
| Clinical Social Worker | 1041C0700X | 2006005622 (MO) |
| Clinical Social Worker | 1041C0700X | 2005037424 (MO) |
| Family Medicine Physician | 207Q00000X | R5E64 (MO) |
| Family Medicine Physician | 207Q00000X | R5N07 (MO) |
| Family Medicine Physician | 207Q00000X | 111208 (MO) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | 096968 (MO) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1962548974
Northeast Missouri Health Council Inc's National Provider Identifier is 1962548974, issued on Jan 29, 2007. 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.