NORTHEAST MISSOURI HEALTH COUNCIL, INC (NPI# 1952798530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952798530 |
| Entity Type | Organization |
| Organization Name | NORTHEAST MISSOURI HEALTH COUNCIL, INC |
| Other Organization Name | PREFERRED FAMILY HEALTH CLINIC |
| Practice Address |
900 E Laharpe St Kirksville MO 63501-4520 |
| Mailing Address |
1416 Crown Dr Kirksville MO 63501-2548 |
| Practice Telephone | 6606275757 |
| Practice Fax Number | 6606275802 |
| Mailing Telephone | 6606275757 |
| Mailing Fax Number | 6606275802 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | MR. ANDY GRIMM (CEO) |
| Authorized Official Telephone | 6606275757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Preferred Family Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127827 | Northeast Missouri Health Council, Inc | Dietitian, Registered | 1506 Crown Dr, Kirksville, MO 63501 | 2020-06-05 |
| 1215311352 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-18 |
| 1487038881 | Northeast Missouri Health Council, Inc | Clinic/Center | 209 N Missouri St, Macon, MO 63552-2151 | 2015-07-15 |
| Street Address |
900 E LAHARPE ST |
| City | KIRKSVILLE |
| State | MO |
| Zip Code | 63501-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063486 | Preferred Family Healthcare, Inc. | Clinic/Center | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2007-01-26 |
| 1053919993 | Summer M. Nelson | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-10-13 |
| 1659980951 | Stacey Shores | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-07-23 |
| 1114545829 | Jaclyn Kay Berning | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2020-07-09 |
| 1023664810 | Joseph Cox | Counselor | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2019-08-16 |
| 1053964429 | Brianna Couch | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2019-07-24 |
| 1184193815 | Kitara Truitt | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2018-11-26 |
| 1801381876 | Shelby Leppin | Nurse Practitioner | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2018-06-22 |
| 1114459674 | Pamela Stills | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2017-04-03 |
| 1457895377 | Elissa Tippett | Licensed Practical Nurse | 900 E Laharpe St, Kirksville, MO 63501-4520 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855642 | Tiffany Anna Athon | Pharmacist | Hy-vee Pharmacy, 500 N Baltimore, Kirksville, MO 63501 | 2020-06-11 |
| 1649829425 | Jillian Jo Pulis | Speech-Language Pathologist | 1300 S Cottage Ave, Kirksville, MO 63501 | 2019-09-05 |
| 1023662319 | Leah Dawn Murphy | Occupational Therapy Assistant | 1705 E La Harpe St, Kirksville, MO 63501 | 2019-07-25 |
| 1902302912 | Brittney Frances Snelling | Specialist/Technologist | 26820 State Hwy 11, Kirksville, MO 63501 | 2018-03-30 |
| 1063931434 | Kara Wehmeyer | Specialist/Technologist | 100 East Normal, Kirksville, MO 63501 | 2017-09-16 |
| 1285080796 | Hawkins Boone Mecham | General Practice | 407 S Main St # 2, Kirksville, MO 63501 | 2016-05-13 |
| 1003287848 | Lacosta Gaines | Nurse Practitioner | 1607 South Baltimore, Kirksville, MO 63501 | 2015-10-19 |
| 1427442573 | Madi Hoppe | Specialist/Technologist | 23571 Crest Trail, Kirksville, MO 63501 | 2015-03-26 |
| 1407247133 | High Hope Employment Services, Inc. | Day Training, Developmentally Disabled Services | 906 East Shepherd Avenue, Kirksville, MO 63501 | 2015-02-17 |
| 1497069694 | Ella Marie Callison | Physician Assistant | 1611 S Baltimore St Ste A, Kirksville, MO 63501 | 2010-07-29 |
| Find all providers in zip 63501 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
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| Find all providers with the same taxonomy | ||||
| City | KIRKSVILLE |
| Zip Code | 63501 |
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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.