| NPI | 1104829498 |
|---|---|
| Doing Business As | NORTHEAST FAMILY HEALTH CLINICS |
| Entity Type | Organization |
| Authorized Contact | ANDREW H. GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 096968) |
| 101YP2500X Counselor, Professional (Licence: MO 2003032101) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 002241) | |
| 122300000X Dentist (Licence: MO 2001012903) | |
| 122300000X Dentist (Licence: MO 2006007559) | |
| 124Q00000X Dental Hygienist (Licence: MO 003847) | |
| 207Q00000X Family Medicine (Licence: MO R5E64) | |
| 207Q00000X Family Medicine (Licence: MO 2001023603) | |
| 207Q00000X Family Medicine (Licence: MO R5C53) | |
| 207Q00000X Family Medicine (Licence: MO R9D62) | |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2004027805) | |
| 208000000X Pediatrics (Licence: MO 2006022612) | |
| 208000000X Pediatrics (Licence: MO 2005037590) | |
| 363L00000X Nurse Practitioner (Licence: MO 107529) | |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2011-06-24 |