Organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Active
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Other names
Mosaic Family Care Albany East, NMC Albany Clinic East
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
1607 E US HIGHWAY 136, ALBANY, MO 64402-8223
(660) 726-3333
(660) 726-3232
Mailing address
1607 E US HIGHWAY 136, ALBANY, MO 64402-8223
(660) 726-3333
(660) 726-3232
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
115802
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203818505
—
MO
05
—
505708305
—
MO
01
—
L288375
MEDICARE PART B GROUP #
MO
Enumeration date
08/27/2007
Last updated
09/16/2024
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