Organization
NORTHWEST HEALTH SERVICES INC
Active
Other names
Braymer Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
109 MAIN STREET, BRAYMER, MO 64624
(660) 645-2218
(660) 645-2820
Mailing address
109 MAIN STREET, BRAYMER, MO 64624-0036
(660) 645-2218
(660) 645-2820
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
—
501330435
—
MO
Enumeration date
04/03/2007
Last updated
11/10/2021
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