South Side Health Center
LBN: Northwest Health Services Inc
South Side Health Center is an health care organization with primary practice located at 5001 Lake Ave , Saint Joseph MO 64504-1170. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Northwest Health Services Inc can be contacted via phone (816) 238-7788, or through Younger, Matt via phone (816) 232-6818.
Contact Information
Primary practice address
5001 Lake Ave
Saint Joseph MO 64504-1170
Phone: (816) 238-7788
Fax: (816) 238-9285
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1194846550 |
|---|---|
| LBN Legal business name | Northwest Health Services Inc |
| DBA Doing business as | South Side Health Center |
| Authorized official | Younger, Matt |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Nov 10th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194846550 | NPPES |
| Missouri | MEDICAID | 509384202 |
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