NORTHWEST HEALTH SERVICES INC NPI 1467497677

NPI Information

NPI: 1467497677
Provider Name: NORTHWEST HEALTH SERVICES INC

Doing Business As: FAMILY MEDICINE ASSOCIATES

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2303 VILLAGE DRIVE
ST. JOSEPH, MO
ZIP 64506
Phone: (816) 232-6818
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NORTHWEST HEALTH SERVICES INC is a federally qualified health center (fqhc) clinic center in St. Joseph, MO. NORTHWEST HEALTH SERVICES INC NPI is 1467497677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Family Medicine Associates.

The provider's business location address is:

2303 VILLAGE DRIVE
ST. JOSEPH, MO
ZIP 64506-954
Phone: (816) 232-6818
Fax: (816) 232-2696

The provider's authorized official is Matt Younger .
The authorized official title is C.e.o. and has the following contact phone number (816) 232-6818.

The CLIA number assigned to this NPI record is 26D0895180 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2006 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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