| Northeast Missouri Family Health Clinic | |
|
Rr 1 Box 55 Sigler Avenue Memphis MO 63555-9726 | |
| (660) 465-7037 | |
| (660) 465-7350 |
| Full Name | Northeast Missouri Family Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | Rr 1 Box 55, Memphis, 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 Missouri Family Health Clinic 314 E Mcpherson St Kirksville MO 63501-3557 Ph: (660) 627-5757 | Northeast Missouri Family Health Clinic Rr 1 Box 55 Sigler Avenue Memphis MO 63555-9726 Ph: (660) 465-7037 |
| NPI Number | 1235275249 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 04/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235275249 | NPI | - | NPPES |
| 503351827 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2001023603 (Missouri) | Primary |
| 363L00000X | Nurse Practitioner | 076376 (Missouri) | Secondary |
Memphis Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 E Sigler Ave, Suite A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2820 | |
Memphis Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E Sigler Ave, Suite A, Memphis, MO 63555 Phone: 660-465-2828 Fax: 660-465-2820 | |
Northeast Missouri Health Council Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 E Grand Ave, Memphis, MO 63555 Phone: 660-627-5757 |