Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Active
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Other names
NMC Albany Clinic West
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
402 E US HIGHWAY 136, NMC ALBANY CLINIC WEST, ALBANY, MO 64402-8210
(660) 726-3311
Mailing address
705 N COLLEGE ST, NORTHWEST MEDICAL CENTER, ALBANY, MO 64402-1433
(660) 726-3941
(660) 726-3647
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
104860
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA1249
MEDICARE PTAN
MO
Enumeration date
07/16/2008
Last updated
09/12/2024
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