| Northeast Family Health | |
|
1506 Crown Drive Kirksville MO 63501 | |
| (660) 627-4493 | |
| (660) 627-4288 |
| Full Name | Northeast Family Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1506 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 1416 Crown Drive Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Family Health 1506 Crown Drive Kirksville MO 63501 Ph: (660) 627-4493 |
| NPI Number | 1962548974 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 06/24/2011 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20060927000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962548974 | NPI | - | NPPES |
| 503351843 | Medicaid | MO |
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