Organization
NORTHWEST HEALTH SERVICES, INC
Active
Other names
Maryville High School Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
1503 S MUNN AVE, MARYVILLE, MO 64468-2757
(660) 562-3511
(660) 562-4822
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 232-6823
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
11/10/2021
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