NORTHWEST HEALTH SERVICES, INC. (NPI# 1013297530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013297530 |
| Entity Type | Organization |
| Organization Name | NORTHWEST HEALTH SERVICES, INC. |
| Other Organization Name | MCCOY & SAMPLES DENTAL CLINIC |
| Practice Address |
850 Fairway Dr Chillicothe MO 64601-3673 |
| Practice Telephone | 6606463802 |
| Mailing Telephone | 6606463802 |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MATT YOUNGER (C.E.O.) |
| Authorized Official Telephone | 8162326818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| McCoy & Samples Dental Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1922650423 | Northwest Health Services, Inc. | Clinic/Center | 3221 Se State Route H, Faucett, MO 64448-8197 | 2019-07-15 |
| 1437624871 | Northwest Health Services, Inc. | Pharmacy | 315 S Us Highway 169, Gower, MO 64454-9116 | 2018-10-12 |
| 1215212980 | Northwest Health Services, Inc. | Dentist | 500 1/2 S Davis St, Hamilton, MO 64644-1424 | 2011-10-13 |
| 1861646168 | Northwest Health Services, Inc. | Family Medicine | 503 S 6th St, Saint Joseph, MO 64501-2224 | 2008-11-13 |
| 1841312444 | Northwest Health Services, Inc. | Family Medicine | 101 E Cross Street, Hamilton, MO 64644 | 2007-04-04 |
| 1912067612 | Northwest Health Services, Inc. | Pharmacy | 103 E. Cross Street, Hamilton, MO 64644-0156 | 2006-12-11 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1538281738 | Northwest Health Services, Inc. | Counselor | 3608 Faraon St, Saint Joseph, MO 64506-3044 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWEST HEALTH SERVICES, INC. | 2303 Village Dr, Saint Joseph, MO 64506-4954 |
| Street Address |
850 FAIRWAY DR |
| City | CHILLICOTHE |
| State | MO |
| Zip Code | 64601-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457551483 | Mccoy Samples Mattingly Dental Clinic | Dentist | 850 Fairway Dr, Chillicothe, MO 64601 | 2007-07-18 |
| 1518315597 | Anthony Ewigman | Dentist | 850 Fairway Dr, Chillicothe, MO 64601-3673 | 2016-05-31 |
| 1750642039 | Emily A Mattingly | Dentist | 850 Fairway Dr, Chillicothe, MO 64601-3673 | 2012-06-04 |
| 1841519105 | David A Mattingly | Dentist | 850 Fairway Dr, Chillicothe, MO 64601-3673 | 2010-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154946564 | Kelly Erin Deering | Optometrist | 1115 N Washingston St, Chillicothe, MO 64601 | 2020-06-11 |
| 1245873314 | Heartland Hearing Center | Hearing Instrument Specialist | 711 Washingtonst, Chllicothe, MO 64601 | 2019-10-22 |
| 1063776706 | Marie Elizabeth Mckinley | Counselor | 871 Fairway Drive, Chillicothe, MO 64601 | 2012-06-27 |
| 1528332525 | Brandon Kent Albrecht | Nurse Anesthetist, Certified Registered | 2106 Woodcrest Drive, Chillicothe, MO 64601 | 2012-03-08 |
| 1356651707 | Kimberly Marie Rice | Hearing Instrument Specialist | 614 Washington St., Suite 101, Chillicothe, MO 64601 | 2010-10-19 |
| 1134328909 | Katherine Gibson | Speech-Language Pathologist | 1020 Old Highway 36 West, Chillicothe, MO 64601 | 2007-07-12 |
| 1669697660 | Family Health Center, Inc. | Family Medicine | 103 11th St. Ste 7, Chillicothe, MO 64601 | 2007-04-16 |
| 1275671042 | Floyd Jerome Davis | Chiropractor | 701 Locust Street, Chillicothe, MO 64601 | 2007-02-02 |
| 1689740938 | James P Suchsland | Family Medicine | 2791 N Washingston St, Hedrick Family Care, Chillicothe, MO 64601 | 2006-11-28 |
| 1447344551 | Michael Todd Berkley | Chiropractor | 322 Cameron Ave, Lacrosse, WI 64601 | 2006-10-03 |
| Find all providers in zip 64601 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1518510510 | Hopewell Health Centers, Inc. | Clinic/Center | 841 E Main St Ste 178, Chillicothe, OH 45601-3509 | 2019-07-18 |
| 1942712757 | Hopewell Health Centers Inc | Clinic/Center | 622 Central Ctr, Chillicothe, OH 45601-2248 | 2017-11-02 |
| 1942291794 | Hopewell Health Centers Inc | Clinic/Center | 1049 Western Ave, Chillicothe, OH 45601-1104 | 2005-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909079 | Northwest Health Services Inc | Clinic/Center | 202 S East St, Albany, MO 64402-1836 | 2020-10-12 |
| 1912505041 | Northwest Health Services Inc | Clinic/Center | 10500 State Route T, Savannah, MO 64485-2456 | 2020-10-12 |
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1407478399 | Big Springs Medical Association | Clinic/Center | 2879 James Blvd, Poplar Bluff, MO 63901-3395 | 2020-05-13 |
| 1295356731 | Health Care Coalition of Lafayette County | Clinic/Center | 811 S Business Highway 13, Lexington, MO 64067-1515 | 2020-05-06 |
| 1376164699 | East Central Missouri Behavioral Health Services, Inc | Clinic/Center | 896 S Sturgeon St, Montgomery City, MO 63361-2716 | 2020-04-27 |
| 1750912044 | Northwest Health Services, Inc. | Clinic/Center | 418 E 2nd St, Maryville, MO 64468-1703 | 2020-01-27 |
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1063052553 | Compass Health, Inc. | Clinic/Center | 1319 E Highway 24 Ste B, Moberly, MO 65270-3682 | 2020-01-13 |
| 1407490741 | Advocates for A Healthy Community Inc | Clinic/Center | 2238 W Kingsley St, Springfield, MO 65807-5456 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
| City | CHILLICOTHE |
| Zip Code | 64601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.