| Northeast Family Health Clinics | |
|
1416 Crown Drive Kirksville MO 63501-2548 | |
| (660) 627-5757 | |
| (660) 627-5802 |
| Full Name | Northeast Family Health Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 1416 Crown Drive, Kirksville, Missouri |
| Authorized Official Name and Position | Andrew H. Grimm (EXECUTIVE DIRECTOR) |
| 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 Clinics 1416 Crown Drive Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Family Health Clinics 1416 Crown Drive Kirksville MO 63501-2548 Ph: (660) 627-5757 |
| NPI Number | 1104829498 |
|---|---|
| Provider Enumeration Date | 05/31/2005 |
| Last Update Date | 06/24/2011 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20040112000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104829498 | NPI | - | NPPES |
| Provider Name | Craig E Mccoy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053312017 PECOS PAC ID: 4587617717 Enrollment ID: I20050613000933 |
| Provider Name | Jesse A Lobb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194700096 PECOS PAC ID: 5395727267 Enrollment ID: I20051227000001 |
| Provider Name | Roxana G Ionas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033121611 PECOS PAC ID: 0840297727 Enrollment ID: I20061107000424 |
| Provider Name | Melanie Grgurich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316922214 PECOS PAC ID: 9739285537 Enrollment ID: I20070510000220 |
| Provider Name | Joseph W Novinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528031770 PECOS PAC ID: 9739236472 Enrollment ID: I20090415000110 |
| Provider Name | Brent D Speak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063681419 PECOS PAC ID: 5294889242 Enrollment ID: I20090811000228 |
| Provider Name | Melodie D Stocks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538388228 PECOS PAC ID: 0143368134 Enrollment ID: I20091111000750 |
| Provider Name | Margaret A Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720064413 PECOS PAC ID: 0648310243 Enrollment ID: I20091211000421 |
| Provider Name | Shannon M Hatfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265758395 PECOS PAC ID: 6608990866 Enrollment ID: I20100825000749 |
| Provider Name | Angella Dawn Shuey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730478173 PECOS PAC ID: 4688843121 Enrollment ID: I20110817000884 |
| Provider Name | Heather R Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497161517 PECOS PAC ID: 9335368729 Enrollment ID: I20140917001375 |
| Provider Name | Shane C Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477808467 PECOS PAC ID: 2466779244 Enrollment ID: I20150317001211 |
| Provider Name | April Winkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104273861 PECOS PAC ID: 4587957592 Enrollment ID: I20160728002025 |
| Provider Name | Carolyn Snyder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124355136 PECOS PAC ID: 3577857325 Enrollment ID: I20160802002495 |
| Provider Name | Crystal L Redman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740600253 PECOS PAC ID: 4587945647 Enrollment ID: I20170103001486 |
| Provider Name | Jennifer Blacksmith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114390598 PECOS PAC ID: 8527365501 Enrollment ID: I20170816000264 |
| Provider Name | Donna Peissner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285610303 PECOS PAC ID: 3072871672 Enrollment ID: I20180102001559 |
| Provider Name | Michelle Kristine Kenney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134501125 PECOS PAC ID: 5092010264 Enrollment ID: I20180614000297 |
| Provider Name | Keely Dyan Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129167 PECOS PAC ID: 0345597142 Enrollment ID: I20180725002347 |
| Provider Name | Stacie Bevill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326534728 PECOS PAC ID: 7719237247 Enrollment ID: I20180905000339 |
| Provider Name | Melissa I Dimmitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447806906 PECOS PAC ID: 8921419110 Enrollment ID: I20201119000094 |
| Provider Name | Chante D Mckim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679246417 PECOS PAC ID: 6305236530 Enrollment ID: I20211202001622 |
| Provider Name | Cassie Marie Tilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093464745 PECOS PAC ID: 6204217961 Enrollment ID: I20220713001464 |
| Provider Name | Matthew Tilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356802649 PECOS PAC ID: 0648506154 Enrollment ID: I20220809003637 |
| Provider Name | Katherine A Manning |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285259721 PECOS PAC ID: 8325467335 Enrollment ID: I20230812000052 |
| Provider Name | Hannah Jo Braungardt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780200113 PECOS PAC ID: 0244653301 Enrollment ID: I20230817000643 |
| Provider Name | Allison Nichole Edwards |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1710669486 PECOS PAC ID: 1456714096 Enrollment ID: I20230829003683 |
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 | |
Northeast Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Pfeiffer Ave, Kirksville, MO 63501 Phone: 660-627-3621 Fax: 660-627-5798 | |
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 | |
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 |