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

Northeast Missouri Health Council, Inc

Organization Family Medicine Physician · NPI 1881730893

Northeast Missouri Health Council, Inc is a Family Medicine Physician in Edina, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
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

104 E Jackson St
Edina, MO 63537-1335
Phone: (660) 397-3517
Fax: (660) 397-2307
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 107529 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence R9D62 (MO)

Record details

NPI number1881730893
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNortheast Missouri Health Council, Inc
Authorized official Andrew Grimm — Executive Director · (660) 627-5757
Other names Northeast Missouri Family Health Clinic
NPI enumeratedJanuary 29, 2007
Last updated in NPPESNovember 11, 2015
Mailing address1416 Crown Dr, Kirksville, MO 63501-2548

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