Northeast Missouri Health Council, Inc
Northeast Missouri Health Council, Inc provides Public Health Dentistry in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
402 W Jefferson StKirksville, MO 63501-3407 Not confirmed with CMS for 13 years — call before visiting
Phone: (660) 665-2741
Fax: (660) 665-3109
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X (MO) |
|---|---|
| Public Health Dentistry | Taxonomy 1223D0001X · Licence 2001012903 (MO) |
| Public Health Dentistry | Taxonomy 1223D0001X · Licence 2006007559 (MO) |
| Dental Hygienist | Taxonomy 124Q00000X · Licence 003847 (MO) |
Record details
| NPI number | 1972649986 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Northeast Missouri Health Council, Inc |
| Authorized official | Andrew Grimm — Executive Director · (660) 627-5757 |
| Other names | Northeast Missouri Dental Clinic |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | October 12, 2012 |
| Mailing address | 1416 Crown Dr, P O Box 1027, Kirksville, MO 63501-2548 |
Other providers in Kirksville
-
Megan Sparks, DMD
402 W Jefferson St, Kirksville, MO 63501 · (660) 665-2741