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 Obstetrics & Gynecology Physician · NPI 1326184334

Northeast Missouri Health Council, Inc is an Obstetrics & Gynecology Physician in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
7
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

402 W Jefferson St
Kirksville, MO 63501-3407
Phone: (660) 665-3555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence R5810 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2004027805 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2009006697 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2006022612 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2005037590 (MO)
Pediatric Critical Care Medicine Physician Taxonomy 2080P0203X · Licence 2009001623 (MO)

Record details

NPI number1326184334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Ob/Gyn Specialty Group/Northeast Pediatrics
NPI enumeratedJanuary 29, 2007
Last updated in NPPESOctober 30, 2012
Mailing address1416 Crown Dr, Kirksville, MO 63501-2548

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