| Northeast Family Health Annex | |
|
1410 Crown Dr Kirksville MO 63501-2548 | |
| (660) 627-4493 | |
| Not Available |
| Full Name | Northeast Family Health Annex |
|---|---|
| Speciality | Psychologist |
| Location | 1410 Crown Dr, Kirksville, Missouri |
| Authorized Official Name and Position | Andrew Grimm (CEO) |
| Authorized Official Contact | 6606275757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Health Annex 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Family Health Annex 1410 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-4493 |
| NPI Number | 1336679836 |
|---|---|
| Provider Enumeration Date | 06/16/2017 |
| Last Update Date | 07/10/2017 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20171004001941 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336679836 | NPI | - | NPPES |
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