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Northeast Missouri Health Council, Inc.

Federally Qualified Health Center (FQHC) in Kirksville, MO · enumerated 2005 · authorized official Andrew Grimm, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104829498

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Registry record

Entity type Organization (Type 2)
Legal business name Northeast Missouri Health Council, Inc.
Other name <Unavail>
Practice address 1416 Crown Drive, Kirksville, MO, 63501
Phone (660) 627-5757
Fax (660) 627-5802
Enumeration date May 31, 2005
Last updated in NPPES Jun 24, 2011

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 2003032101 (MO) Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 002241 (MO) Secondary
122300000X Dentist Dental Providers · License 2001012903 (MO) Secondary
122300000X Dentist Dental Providers · License 2006007559 (MO) Secondary
124Q00000X Dental Hygienist Dental Providers · License 003847 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License R5E64 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 2001023603 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License R5C53 (MO) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License R9D62 (MO) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 2004027805 (MO) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2006022612 (MO) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 2005037590 (MO) Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 107529 (MO) Secondary
363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 096968 (MO) Secondary

Authorized official

Name Andrew Grimm
Title Executive Director
Phone (660) 627-5757

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Northeast Missouri Health Council, Inc.?
The NPI for Northeast Missouri Health Council, Inc. is 1104829498, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Northeast Missouri Health Council, Inc.?
NPPES lists Andrew Grimm (Executive Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-24.