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Organization
NORTHWEST MEDICAL CENTER ASSOCIATION INC
Active
Organization
NORTHWEST MEDICAL CENTER ASSOCIATION INC
Active
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Other names
Mosaic Professional Services Albany, ER PHYSICIANS GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Authorized official
DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0473
Entity
Organization
Contact information
Practice address
705 N COLLEGE ST, ALBANY, MO 64402-1433
(660) 726-3941
Mailing address
705 N COLLEGE ST, ALBANY, MO 64402-1433
(660) 726-3941
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
09/12/2024
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