Organization
NORTHWEST HEALTH SERVICES, INC
Active
Other names
Mound City Medical Clinc, NW Mound City Dental Clinc
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
1303 STATE STREET, MOUND CITY, MO 64470-1717
(660) 442-5464
(660) 442-5927
Mailing address
1303 STATE STREET, MOUND CITY, MO 64470-1717
(660) 442-5464
(660) 442-5927
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
—
502111248
—
MO
Enumeration date
04/03/2007
Last updated
11/10/2021
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