| Northeast Missouri Health Council Inc | |
| 
					118 E Grand Ave Memphis MO 63555  | |
| (660) 627-5757 | |
| Not Available | 
| Full Name | Northeast Missouri Health Council Inc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 118 E Grand Ave, Memphis, Missouri | 
| Authorized Official Name and Position | Andrew Grimm (CEO) | 
| Authorized Official Contact | 6606275757 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northeast Missouri Health Council Inc 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757  | Northeast Missouri Health Council Inc 118 E Grand Ave Memphis MO 63555 Ph: (660) 627-5757  | 
| NPI Number | 1881307155 | 
|---|---|
| Provider Enumeration Date | 01/03/2023 | 
| Last Update Date | 01/03/2023 | 
| Medicare PECOS PAC ID | 1658280805 | 
|---|---|
| Medicare Enrollment ID | O20230323001915 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881307155 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary | 
Scotland County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 E Sigler Ave Ste A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2820  | |
Scotland County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E Sigler Ave Ste A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2820  |