Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Active
Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Active
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Other names
Mosaic Anesthesia Albany
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
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
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541084307
—
MO
01
—
918404203
WM. E. BRADE, CRNA - ME
MO
01
—
919902106
DARIN J. WARD, CRNA - MED
MO
Enumeration date
07/30/2007
Last updated
09/12/2024
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