| Northeast Behavioral Health | |
|
105 Pfeiffer Ave Kirksville MO 63501-5047 | |
| (660) 627-3621 | |
| (660) 627-5798 |
| Full Name | Northeast Behavioral Health |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 105 Pfeiffer Ave, Kirksville, Missouri |
| Authorized Official Name and Position | Andrew H Grimm (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6606275757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Behavioral Health 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Behavioral Health 105 Pfeiffer Ave Kirksville MO 63501-5047 Ph: (660) 627-3621 |
| NPI Number | 1083897292 |
|---|---|
| Provider Enumeration Date | 12/11/2007 |
| Last Update Date | 06/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083897292 | NPI | - | NPPES |
| 503351884 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 2003016131 (Missouri) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Missouri) | Primary |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
Preferred Family Healthcare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Jamison St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-627-0642 | |
Northeast Family Health Clinics Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1416 Crown Drive, Kirksville, MO 63501 Phone: 660-627-5757 Fax: 660-627-5802 | |
Preferred Family Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 E Laharpe St, Kirksville, MO 63501 Phone: 660-665-1962 Fax: 660-665-3989 | |
A T Still University Of Health Sciences Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 800 W Jefferson St, Kirksville, MO 63501 Phone: 660-626-2739 Fax: 660-626-2150 |