Organization
NORTHWEST MEDICAL CENTER ASSOCIATION INC
Active
Other names
Northwest Medical Center, Mosaic Medical Center Albany
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT CARVELL (DIRECTOR OF REIMBURSEMENT)
(816) 273-0437
Entity
Organization
Contact information
Practice address
705 N COLLEGE ST, ALBANY, MO 64402-1433
(660) 726-3941
(660) 726-3647
Mailing address
705 N COLLEGE ST, ALBANY, MO 64402-1433
(660) 726-3941
(660) 726-3647
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
98-47
MO
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
98-52
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010158301
—
MO
Enumeration date
05/27/2006
Last updated
09/12/2024
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