Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Active
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Other names
Mosaic Family Care Stanberry, NMC Stanberry Rural Health Clinic
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
202 E MAIN ST, STANBERRY, MO 64489-1358
(660) 783-2092
Mailing address
705 N COLLEGE ST, ALBANY, MO 64402-1433
(660) 726-3941
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590158309
—
MO
Enumeration date
11/28/2006
Last updated
09/16/2024
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