# NORTHWEST MEDICAL CENTER ASSOCIATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTHWEST MEDICAL CENTER ASSOCIATION, INC
- **Other names:** NMC Grant City Clinic, Mosaic Family Care Grant City
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053452623
- **Legal business name:** NORTHWEST MEDICAL CENTER ASSOCIATION, INC
- **Authorized official:** DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (816) 273-0437

## Contact information

- **Practice address:** 16 W. 4TH ST., GRANT CITY, MO 64456
- **Practice address phone:** (660) 564-3322
- **Practice address fax:** (660) 564-3324
- **Mailing address:** 16 W. 4TH ST., PO BOX 187, GRANT CITY, MO 64456
- **Mailing address phone:** (660) 564-3322
- **Mailing address fax:** (660) 564-3324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 09/12/2024
