Northeast Missouri Health Council INC
Clinic/Center, Federally Qualified Health Center (FQHC) in Milan, MO. Organization (NPI-2).
NPI number1144366154
StatusActive
Last updated in NPPESJun 24, 2011
Details
- NPI
- 1144366154
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast Missouri Health Council INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Jun 24, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | MO | Yes |
| 207Q00000X | Family Medicine | 109328 | MO | |
| 207V00000X | Obstetrics & Gynecology | 2009006697 | MO |
Other names
- Northeast Missouri Family Health Clinic (Doing Business As)
Practice location
52334 Business Highway 5Milan, MO 63556-3040
Phone 660-265-1042 · Fax 660-265-1043
Mailing address
1416 Crown DrKirksville, MO 63501-2548
Phone 660-627-5757 · Fax 660-627-5802
Authorized official
Andrew H. Grimm
Executive Director
6606275757
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