NORTHWEST HEALTH SERVICES, INC. (NPI# 1750912044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750912044 |
| Entity Type | Organization |
| Organization Name | NORTHWEST HEALTH SERVICES, INC. |
| Practice Address |
418 E 2nd St Maryville MO 64468-1703 |
| Mailing Address |
2303 Village Dr Saint Joseph MO 64506-4954 |
| Practice Telephone | 6605623233 |
| Practice Fax Number | 6605622735 |
| Mailing Telephone | 8162326818 |
| Mailing Fax Number | 8162326823 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | REBECCA A MANKIN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8169011006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Maryville Elementary School Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013297530 | Northwest Health Services, Inc. | Dentist | 850 Fairway Dr, Chillicothe, MO 64601-3673 | 2011-08-29 |
| 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 |
418 E 2ND ST |
| City | MARYVILLE |
| State | MO |
| Zip Code | 64468-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619315603 | William Sean Prescott | Counselor | 318 North Main, Maryville, MO 64468 | 2013-06-12 |
| 1215284617 | Janet Luzmoor | Counselor | 109 East Summit Dr, Maryville, MO 64468 | 2012-08-06 |
| 1629336177 | Kristi Renee White | Social Worker | 423 N Market St, Maryville, MO 64468 | 2012-05-02 |
| 1285942474 | Kyle William Bowers | Physical Therapist | 2016 South Main Street, Maryville, MO 64468 | 2010-09-22 |
| 1861600660 | Debra Anne Hopkins | Physical Therapist | 2416 South Main St, Maryville, MO 64468 | 2007-05-18 |
| 1023235975 | Susan Kay Grispino | Occupational Therapist | Area Cooperative for Educational Support, 1429 South Munn Avenue, Maryville, MO 64468 | 2007-04-20 |
| 1760542567 | North West Missouri State University | Clinic/Center | 800 University Drive, Maryville, MO 64468 | 2006-12-11 |
| 1528154994 | Bruce E Twaddle | Dentist | 231 Summit Drive, Maryville, MO 64468 | 2006-10-05 |
| 1669588075 | Stanley David Snyder | Dentist | 2825 South Main Street, Maryville, MO 64468 | 2006-08-21 |
| 1710906896 | Ileen Richey-arellin | Social Worker | 109 E Summit Drive, Family Guidance Center, Maryville, MO 64468 | 2006-07-19 |
| Find all providers in zip 64468 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003950 | Northwest Health Services, Inc. | Clinic/Center | 525 W South Hills Dr, Maryville, MO 64468-3653 | 2020-01-27 |
| 1588294151 | Northwest Health Services, Inc | Clinic/Center | 1503 S Munn Ave, Maryville, MO 64468-2757 | 2020-01-22 |
| 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 |
| 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 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1750925293 | Health Care Coalition of Lafayette County | Clinic/Center | 100 Kirkham St, Orrick, MO 64077-8240 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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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.