| Northeast Missouri Family Health Clinic | |
|
104 E Jackson St Edina MO 63537-1335 | |
| (660) 397-3517 | |
| (660) 397-2307 |
| Full Name | Northeast Missouri Family Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 E Jackson St, Edina, 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 Missouri Family Health Clinic 1416 Crown Dr Kirksville MO 63501-2548 Ph: (660) 627-5757 | Northeast Missouri Family Health Clinic 104 E Jackson St Edina MO 63537-1335 Ph: (660) 397-3517 |
| NPI Number | 1881730893 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 11/11/2015 |
| Medicare PECOS PAC ID | 1658280805 |
|---|---|
| Medicare Enrollment ID | O20040107000173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881730893 | NPI | - | NPPES |
| 503351819 | Medicaid | MO |
| Provider Name | Beth M Schrage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023094240 PECOS PAC ID: 8224084819 Enrollment ID: I20050328000187 |
| Provider Name | Joseph W Novinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528031770 PECOS PAC ID: 9739236472 Enrollment ID: I20090415000110 |
| Provider Name | Julia R Knapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598704751 PECOS PAC ID: 5799816369 Enrollment ID: I20100625000167 |
| 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 | Keely Dyan Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129167 PECOS PAC ID: 0345597142 Enrollment ID: I20180725002347 |
| 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 | 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 |
Family Health Center Of Edina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S 5th St, Edina, MO 63537 Phone: 660-397-2100 Fax: 660-297-3292 | |
Family Health Center Of Edina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 S 5th St, Edina, MO 63537 Phone: 660-397-2400 | |
Scotland County Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55682 State Highway 6, Edina, MO 63537 Phone: 660-465-8513 Fax: 660-465-2956 | |
Scotland County Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55682 State Highway 6 Ste A, Edina, MO 63537 Phone: 660-465-8513 Fax: 660-465-2956 |