| Northeast Missouri Health Council, Inc. | |
|
1510 Crown Drive Kirksville MO 63501-2437 | |
| (660) 627-3621 | |
| (660) 627-5798 |
| Full Name | Northeast Missouri Health Council, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1510 Crown Drive, Kirksville, Missouri |
| Authorized Official Name and Position | Andrew H Grimm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6606275757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Missouri Health Council, Inc. 1416 Crown Drive Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Missouri Health Council, Inc. 1510 Crown Drive Kirksville MO 63501-2437 Ph: (660) 627-3621 |
| NPI Number | 1255510699 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 02/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255510699 | NPI | - | NPPES |
| 507311702 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2003032101 (Missouri) | Primary |
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