| NPI | 1962548974 |
|---|---|
| Doing Business As | NORTHEAST FAMILY HEALTH |
| 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 | 1041C0700X Social Worker, Clinical (Licence: MO 002241) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2006005622) | |
| 1041C0700X Social Worker, Clinical (Licence: MO 2005037424) | |
| 207Q00000X Family Medicine (Licence: MO R5E64) | |
| 207Q00000X Family Medicine (Licence: MO R5N07) | |
| 207Q00000X Family Medicine (Licence: MO 111208) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 096968) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-06-24 |