Northeast Behavioral Health – Federally Qualified Health Center (FQHC), NPI 1083897292

Northeast Behavioral Health is a healthcare provider. based in Kirksville, Missouri. specializing in Federally Qualified Health Center (FQHC). The organization holds a License No. 2003016131 (MO). The NPI Number for Northeast Behavioral Health is 1083897292

Main info

Organization
Name
Northeast Behavioral Health
NPI
1083897292
Phone
(660) 627-5757
Address
1416 CROWN DR
Authorized Official
ANDREW H GRIMM EXECUTIVE DIRECTOR
Enumeration Date
11 December 2007
Last Update Date
17 June 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness80
Years active:18State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Northeast Behavioral Health

  • 1416, Crown Drive, Kingsridge, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635012548

    Phone: (660) 627-5757

    Fax: (660) 627-5802

    Type: Mailing

  • 105, Pfeiffer Avenue, Kirksville, Adair County, Missouri, 63501, United States

    KIRKSVILLE, MO 635015047

    Phone: (660) 627-3621

    Fax: (660) 627-5798

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63501)

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Reviews

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Frequently asked questions

Where can patients find Northeast Behavioral Health's NPI?
You can confirm Northeast Behavioral Health with NPI 1083897292; it appears in the national provider directory.
Is Northeast Behavioral Health's NPI currently valid?
The extract we use shows Northeast Behavioral Health as active.
Does Northeast Behavioral Health list a primary specialty?
If you are matching referrals, note Federally Qualified Health Center (FQHC) for Northeast Behavioral Health. Clinical services aligned with this taxonomy classification.
Where does public data place Northeast Behavioral Health?
The snapshot lists Kirksville, Missouri for Northeast Behavioral Health; download NPPES for the complete set.
What if Kirksville, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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