Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northeast Missouri Health Council Inc

Organization Pediatrics Physician · NPI 1053457069

Northeast Missouri Health Council Inc provides Pediatrics Physician services in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 W Jefferson
Kirksville, MO 63501-2819 Not confirmed with CMS for 17 years — call before visiting
Phone: (660) 627-2229
Fax: (660) 627-2233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2005037590 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2006022612 (MO)

Record details

NPI number1053457069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Northeast Missouri Pediatric Clinic
NPI enumeratedJanuary 29, 2007
Last updated in NPPESApril 1, 2009
Mailing address314 E McPherson St, Kirksville, MO 63501-3557

Other providers in Kirksville