Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northeast Missouri Health Council Inc

Organization Pediatrics Physician · NPI 1053457069

Northeast Missouri Health Council Inc is a Pediatrics Physician 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
Phone: (660) 627-2229
Fax: (660) 627-2233
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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