NORTHEAST MISSOURI HEALTH COUNCIL, INC. (NPI# 1457634594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457634594 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MISSOURI HEALTH COUNCIL, INC. |
| Other Organization Name | KAHOKA DENTAL |
| Practice Address |
248 N Morgan St Kahoka MO 63445-1433 |
| Mailing Address |
1416 Crown Dr Kirksville MO 63501-2548 |
| Practice Telephone | 6607271500 |
| Practice Fax Number | 6607271502 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | ANDREW GRIMM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6606275757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
2007014537 | MO | Dental Providers |
| Other Name | Type Code |
|---|---|
| Kahoka Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477852960 | Northeast Missouri Health Council, Inc. | Social Worker | 314 E Mcpherson St, Kirksville, MO 63501-3557 | 2011-03-23 |
| 1548588932 | Northeast Missouri Health Council, Inc. | Social Worker | 159 E Commercial St, Kahoka, MO 63445-1701 | 2010-05-10 |
| 1104829498 | Northeast Missouri Health Council, Inc. | Counselor | 1416 Crown Drive, Kirksville, MO 63501-2548 | 2005-05-31 |
| 1609059815 | Northeast Missouri Health Council, Inc. | Counselor | 1510 Crown Drive, Kirksville, MO 63501-4002 | 2007-12-11 |
| 1083897292 | Northeast Missouri Health Council, Inc. | Social Worker | 105 Pfeiffer Ave, Kirksville, MO 63501-5047 | 2007-12-11 |
| 1255510699 | Northeast Missouri Health Council, Inc. | Counselor | 1510 Crown Drive, Kirksville, MO 63501-2437 | 2007-11-02 |
| 1326184334 | Northeast Missouri Health Council, Inc. | Obstetrics & Gynecology | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2007-01-29 |
| 1235275249 | Northeast Missouri Health Council, Inc. | Nurse Practitioner | Rr 1 Box 55, Sigler Avenue, Memphis, MO 63555-9726 | 2007-01-29 |
| 1972649986 | Northeast Missouri Health Council, Inc. | Dentist | 402 W Jefferson St, Kirksville, MO 63501-3407 | 2007-01-29 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| Street Address |
248 N MORGAN ST |
| City | KAHOKA |
| State | MO |
| Zip Code | 63445-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174729297 | Deana Lynn Ball | Dentist | 248 N Morgan St, Kahoka, MO 63445-1433 | 2007-06-25 |
| 1912288382 | Jamie L Perry | Dental Hygienist | 248 N Morgan St, Kahoka, MO 63445-1433 | 2011-08-30 |
| 1295058287 | Salt River Community Health Center | Clinic/Center | 248 N Morgan St, Kahoka, MO 63445-1433 | 2010-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497286462 | Nicole Davolt | Community Health Worker | 112 N Johnson St., Kahoka, MO 63445 | 2017-03-22 |
| 1376953554 | Samantha Allen | Speech-Language Pathologist | 566 E Commercial St, Kahoka, MO 63445 | 2014-04-28 |
| 1558781443 | Athena Marie Duncan | Technician/Technologist | 450 N Johnson, Kahoka, MO 63445 | 2014-04-18 |
| 1124208137 | Lynne E Barbour Dds PC | Dentist | 203 E Commercial, Kahoka, MO 63445 | 2007-11-07 |
| 1700912276 | Exceed Physical Therapy LLC | Physical Therapist | 120 South Johnson Street, Kahoka, MO 63445 | 2007-02-26 |
| 1417047887 | Lynne Barbour | Dentist | 203 East Commercial, Kahoka, MO 63445-0025 | 2006-10-13 |
| 1366076929 | Kourtney Brooke Anderson | Occupational Therapy Assistant | 710 Newton Ave, Kahoka, MO 63445-1009 | 2020-02-23 |
| 1336761873 | Erin Protsman | Nurse Practitioner | 304 Westbrooke Dr, Kahoka, MO 63445-1052 | 2020-05-07 |
| 1194718908 | Clark County Nursing Home | Skilled Nursing Facility | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2005-08-26 |
| 1851765960 | Jessica Dianne Boudreau | Occupational Therapy Assistant | 1260 N Johnson St, Kahoka, MO 63445-1100 | 2015-12-01 |
| Find all providers in zip 63445 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811348014 | Lea Rich | Dentist | 811a South Business 13 Hwy, Lexington, MO 64067 | 2016-06-29 |
| 1790164762 | Ozark Tri-county Health Care Consortium | Dentist | 3201 S Arrowhead Dr, Independence, MO 64057-1196 | 2015-05-23 |
| 1255626826 | Heartland Outreach Providers, Inc. | Dentist | 18921 E Valley View Pkwy Ste G, Suite 215, Independence, MO 64055-7024 | 2011-06-12 |
| 1487829644 | Phelps County Regional Medical Center | Dentist | 1202 Homelife Drive, Rolla, MO 65401 | 2008-04-28 |
| 1104010255 | Michael Bruce Hogan | Dentist | 108 Cecil St Ste G, Camdenton, MO 65020-7066 | 2007-08-31 |
| 1548469398 | Samantha Jean Sutton | Dentist | 508 W. 76 Hwy, Anderson, MO 64831 | 2007-07-12 |
| 1083836381 | The Tooth Truck Inc. Dba Ronald Mcdonald Care Mobile of The Ozarks | Dentist | 949 E. Primrose, Springfield, MO 65807 | 2007-05-03 |
| 1447384417 | Chyrelle Louann Blount | Dentist | 15479 Us Highway 160, Forsyth, MO 65653 | 2007-03-14 |
| 1386774412 | Area Community Health Emissaries, Inc. | Dentist | 508 W 76 Hwy, Anderson, MO 64831 | 2007-03-07 |
| 1336279470 | Avoyn Forga | Dentist | 508 West 76 Hwy., Anderson, MO 64831 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.