Organization
NORTHWEST HEALTH SERVICES INC
Active
Other names
Cainsville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
707 VICTORY LANE, CAINSVILLE, MO 64632
(660) 893-5750
(660) 893-5751
Mailing address
707 VICTORY LANE, CAINSVILLE, MO 64632
(660) 893-5750
(660) 893-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506065309
—
MO
Enumeration date
04/04/2007
Last updated
11/10/2021
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