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

Northeast Missouri Health Council, Inc

Organization Family Medicine Physician · NPI 1881730893

Northeast Missouri Health Council, Inc provides Family Medicine Physician services in Edina, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
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

104 E Jackson St
Edina, MO 63537-1335 Not confirmed with CMS for 10 years — call before visiting
Phone: (660) 397-3517
Fax: (660) 397-2307
Show map & directions

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

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 107529 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R9D62 (MO)

Record details

NPI number1881730893
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Missouri Health Council, Inc
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Northeast Missouri Family Health Clinic
NPI enumeratedJanuary 29, 2007
Last updated in NPPESNovember 11, 2015
Mailing address1416 Crown Dr, Kirksville, MO 63501-2548

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