NORTHEAST BEHAVIORAL HEALTH
NPI 1477852960
Clinic/Center - Federally Qualified Health Center (FQHC) in Kirksville, MO

NPI Status: Active since March 23, 2011

Contact Information

314 E MCPHERSON ST
KIRKSVILLE, MO
ZIP 63501
Phone: (660) 627-5757
Fax: (660) 627-5802

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About NORTHEAST BEHAVIORAL HEALTH

This page provides the complete NPI Profile along with additional information for Northeast Behavioral Health, a primary care provider established in Kirksville, Missouri operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1477852960 assigned on March 2011. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Northeast Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Northeast Behavioral Health. The authorized official of this NPI record is Andrew Grimm (Executive Director)

NPI
1477852960
Provider Legal Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Other Organization Name
NORTHEAST BEHAVIORAL HEALTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
314 E MCPHERSON ST KIRKSVILLE, MO 63501
Location Phone
(660) 627-5757
Location Fax
(660) 627-5802
Mailing Address
1416 CROWN DRIVE KIRKSVILLE, MO 63501
Mailing Phone
(660) 627-5757
Mailing Fax
(660) 627-5802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-23-2011
Last Update Date
06-24-2011
Code Navigator

A primary care provider (PCP) like Northeast Behavioral Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities
License State
MO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

002241 (MO)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREW GRIMM

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(660) 627-5757

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477852960
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471654912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 5 + 4 + 9 + 1 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1477852960 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477852960, enumerated in the NPI registry as an "organization" on March 23, 2011

The provider is located at 314 E Mcpherson St Kirksville, Mo 63501 and the phone number is (660) 627-5757

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on March 23, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.