OrganizationActive
Northeast Missouri Health Council, Inc.
NPI 1972649986 · Federally Qualified Health Center (FQHC) · Kirksville, MO
Provider details
- NPI number
- 1972649986
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Parent organization
- Northeast Missouri Health Council, Inc.
- Organization subpart
- Yes
- Authorized official
- Andrew Grimm, Executive Director(660) 627-5757
- License
- 2001012903 (MO)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 W Jefferson St
Kirksville, MO 63501-3407
Phone: (660) 665-2741
Fax: (660) 665-3109
Street-level locationGet directions
Mailing address
1416 Crown Dr
Kirksville, MO 63501-2548
Other names (DBA / former)
- Doing business as
- Northeast Missouri Dental Clinic
Registry dates
- Enumerated
- 2007-01-29
- Last updated
- 2012-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.