Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
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
Legal business name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Authorized official
DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0437
Entity
Organization
Contact information
Practice address
16 W. 4TH ST., GRANT CITY, MO 64456
(660) 564-3322
(660) 564-3324
Mailing address
16 W. 4TH ST., PO BOX 187, GRANT CITY, MO 64456
(660) 564-3322
(660) 564-3324
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505708305
—
MO
Enumeration date
02/08/2007
Last updated
09/12/2024
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