NORTHEAST MISSOURI HEALTH COUNCIL, INC.
NORTHEAST MISSOURI HEALTH COUNCIL, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104829498, based in Kirksville, MO. The organization lists 10 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.
Getting there
The practice address on file is 1416 CROWN DRIVE, Kirksville, MO 63501. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2003032101 | MO | Professional Counselor |
| 002241 | MO | Clinical Social Worker |
| 2001012903 | MO | Dentist |
| 2006007559 | MO | Dentist |
| 003847 | MO | Dental Hygienist |
| R5E64 | MO | Family Medicine Physician |
| 2001023603 | MO | Family Medicine Physician |
| R5C53 | MO | Family Medicine Physician |
| R9D62 | MO | Family Medicine Physician |
| 2004027805 | MO | Obstetrics & Gynecology Physician |
| 2006022612 | MO | Pediatrics Physician |
| 2005037590 | MO | Pediatrics Physician |
| 107529 | MO | Nurse Practitioner |
| 096968 | MO | Family Nurse Practitioner |
This provider holds licence 2003032101 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1658280805
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Federally Qualified Health Center (FQHC) covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QF0400X | Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | — | MO | primary |
| 101YP2500X | Professional Counselor Professional | 2003032101 | MO | |
| 1041C0700X | Clinical Social Worker Clinical | 002241 | MO | |
| 122300000X | Dentist | 2001012903 | MO | |
| 122300000X | Dentist | 2006007559 | MO | |
| 124Q00000X | Dental Hygienist | 003847 | MO | |
| 207Q00000X | Family Medicine Physician | R5E64 | MO | |
| 207Q00000X | Family Medicine Physician | 2001023603 | MO | |
| 207Q00000X | Family Medicine Physician | R5C53 | MO | |
| 207Q00000X | Family Medicine Physician | R9D62 | MO | |
| 207V00000X | Obstetrics & Gynecology Physician | 2004027805 | MO | |
| 208000000X | Pediatrics Physician | 2006022612 | MO | |
| 208000000X | Pediatrics Physician | 2005037590 | MO | |
| 363L00000X | Nurse Practitioner | 107529 | MO | |
| 363LF0000X | Family Nurse Practitioner Family | 096968 | MO |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1104829498 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 31, 2005 |
| Last updated | Jun 24, 2011 |
| Status | Active |
| Practice address |
1416 CROWN DRIVE Kirksville, MO 63501 (660) 627-5757 Fax (660) 627-5802 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 2 | 9 | 4 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 2 | 9 | 4 | 9 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.