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NORTHEAST MISSOURI HEALTH COUNCIL INC. NPI 1235275249


NPI Information

NPI: 1235275249
Provider Name: NORTHEAST MISSOURI HEALTH COUNCIL, INC.

Doing Business As: NORTHEAST MISSOURI FAMILY HEALTH CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
RR 1 BOX 55
SIGLER AVENUE
MEMPHIS, MO
ZIP 63555
Phone: (660) 465-7037
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NORTHEAST MISSOURI HEALTH COUNCIL, INC. is a family medicine in Memphis, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHEAST MISSOURI HEALTH COUNCIL, INC. NPI is 1235275249. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Northeast Missouri Family Health Clinic.

The provider's business location address is:

RR 1 BOX 55
SIGLER AVENUE
MEMPHIS, MO
ZIP 63555-726
Phone: (660) 465-7037
Fax: (660) 465-7350

The provider's authorized official is Andrew H. Grimm .
The authorized official title is Executive Director and has the following contact phone number (660) 627-5757.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/1/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner076376MISSOURINo
2207Q00000XFamily Medicine2001023603MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1503351827MEDICAIDMISSOURI
2261822MEDICARE OSCAR/CERTIFICATIONMISSOURI
3000012165MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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