Northeast Missouri Health Council, Inc

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NORTHEAST MISSOURI HEALTH COUNCIL, INC

Doing business as

NMHC DPP

Practice address

1506 Crown Dr
Kirksville, MO 63501

Phone

(660) 627-4493

Fax

(660) 627-4288

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrew Grimm

Title

Ceo

Phone

(660) 627-5757

Specialties & licenses 1

Addresses

Other names 1

• NMHC DPP Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1972127827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-4493",
            "fax_number": "660-627-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 CROWN DR",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "63501",
            "telephone_number": "660-627-4493",
            "fax_number": "660-627-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MISSOURI HEALTH COUNCIL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-627-5757"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMHC DPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northeast Missouri Health Council Inc (Northeast Missouri Pediatric Clinic)
• Northeast Missouri Health Council Inc (Northeast Family Health Annex)
• Northeast Missouri Health Council Inc (Northeast Family Health)
• Northeast Missouri Health Council, Inc (Health Council Pharmacy)
• Northeast Missouri Health Council, Inc (Preferred Family Health Clinic)
• Northeast Missouri Health Council, Inc. (Northeast Behavioral Health)
• Northeast Missouri Health Council, Inc. (Northeast Family Health Clinics)
• Northeast Missouri Health Council, Inc.
• Northeast Missouri Health Council, Inc. (OB/GYN Specialty Group/Northeast Pediatrics)
• Northeast Missouri Health Council, Inc. (Northeast Behavioral Health)

• Registered Dietitian in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Registered Dietitian in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.