NORTHEAST FAMILY HEALTH CLINICS
NPI 1104829498
Nurse Practitioner, Family in Kirksville,


Quality Rating: 100 out of 100 score

NPI Status: Active since May 31, 2005

Contact Information

1416 Crown Drive
Kirksville,
Post Code: 63501
Phone: (660) 627-5757
Fax: (660) 627-5802

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Northeast Family Health Clinics in Kirksville - Nurse Practitioner, Family

Northeast Family Health Clinics is a Nurse Practitioner, Family in Kirksville, . Northeast Family Health Clinics practices all healthcare services and medical treatments related to Nurse Practitioner, Family. The NPI Number for Northeast Family Health Clinics is 1104829498. The last update date is 2011-06-24.

Northeast Family Health Clinics's current location address is 1416 Crown Drive, Kirksville, . You can contact this provider via phone number (660) 627-5757 and fax number (660) 627-5802. The mailing address for Northeast Family Health Clinics is 1416 Crown Drive, Kirksville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1104829498
Provider Legal Name
NORTHEAST MISSOURI HEALTH COUNCIL, INC.
Other Organization Name
NORTHEAST FAMILY HEALTH CLINICS
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
1416 Crown Drive, Kirksville,
Location Phone
(660) 627-5757
Location Fax
(660) 627-5802
Mailing Address
1416 Crown Drive, Kirksville, Missouri(MO)
Mailing Phone
660-627-5757
Mailing Fax
660-627-5802
Enumeration Date
2005-05-31
Last Update Date
2011-06-24
Code Navigator

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
-
License No.
-
License State
Missouri (MO)
Taxonomy Description
-

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)
1 363LF0000X Family Nurse Practitioner

Nurse Practitioner, Family

096968 (Missouri)
2 101YP2500X Professional Counselor

Counselor, Professional

2003032101 (Missouri)
3 1041C0700X Clinical Social Worker

Social Worker, Clinical

002241 (Missouri)
4 122300000X Dentist

Dentist

2001012903 (Missouri)
5 122300000X Dentist

Dentist

2006007559 (Missouri)
6 124Q00000X Dental Hygienist

Dental Hygienist

003847 (Missouri)
7 207Q00000X Family Medicine Physician

Family Medicine

R5E64 (Missouri)
8 207Q00000X Family Medicine Physician

Family Medicine

2001023603 (Missouri)
9 207Q00000X Family Medicine Physician

Family Medicine

R5C53 (Missouri)
10 207Q00000X Family Medicine Physician

Family Medicine

R9D62 (Missouri)
11 207V00000X Obstetrics & Gynecology Physician

Obstetrics & Gynecology

2004027805 (Missouri)
12 208000000X Pediatrics Physician

Pediatrics

2006022612 (Missouri)
13 208000000X Pediatrics Physician

Pediatrics

2005037590 (Missouri)
14 363L00000X Nurse Practitioner

Nurse Practitioner

107529 (Missouri)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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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.
1104829498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
210416218418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 210416218418
2 + 1 + 0 + 4 + 1 + 6 + 2 + 1 + 8 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8 8

The NPI number 1104829498 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063415073 KING'S MEDICAL IMAGING CREVE COEUR, LLC
ADVANCED IMAGING CREVE COEUR
Organization
Physiological Laboratory 1894 GEORGETOWN RD
HUDSON, Ohio (OH)
330-653-3968
1053314195 JOSEPH T DODD
Individual
Surgery 800 S ASH
NEVADA, Missouri (MO)
417-448-3644
1083617294 MORIN MICHAEL HANSON
Individual
Surgery 11125 DUNN RD
SAINT LOUIS, Missouri (MO)
314-741-3400
1083617245 ST MARY'S HOSPITAL, CENTRALIA, ILLINOIS
SSM HEALTH ST. MARY'S HOSPITAL - CENTRALIA
Organization
Psychiatric Unit 400 N PLEASANT AVE
CENTRALIA, Illinois (IL)
618-436-8000
1003819137 SUSAN MARIE MOU
Individual
Obstetrics & Gynecology 2310 HOLMES ST
KANSAS CITY, Missouri (MO)
816-218-2500