| NPI | 1235275249 |
|---|---|
| Doing Business As | NORTHEAST MISSOURI FAMILY HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANDREW H. GRIMM Executive Director 660-627-5757 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2001023603) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 076376) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2009-04-01 |