Organization
NORTHWEST HEALTH SERVICES, INC
Active
Other names
Family Medicine Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 232-6823
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 232-6818
(816) 232-6823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509712501
—
MO
Enumeration date
04/06/2007
Last updated
11/10/2021
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