Organization
NORTHWEST HEALTH SERVICES, INC.
Active
Other names
Downtown Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATT YOUNGER (CEO)
(816) 232-6818
Entity
Organization
Contact information
Practice address
503 S 6TH ST, SAINT JOSEPH, MO 64501-2224
(816) 233-5188
Mailing address
2303 VILLAGE DR, SAINT JOSEPH, MO 64506-4954
(816) 271-8219
(816) 232-2696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261031
FQHC FACILITY NUMBER
MO
01
—
F290000A
MEDICARE PART B ID
—
Enumeration date
11/13/2008
Last updated
11/10/2021
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