Mound City Medical Clinc
LBN: Northwest Health Services, Inc
Mound City Medical Clinc is an health care organization with primary practice located at 1303 State Street , Mound City MO 64470-1717. 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 (660) 442-5464, or through Younger, Matt via phone (816) 232-6818.
Contact Information
Primary practice address
1303 State Street
Mound City MO 64470-1717
Phone: (660) 442-5464
Fax: (660) 442-5927
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 | 1437270915 |
|---|---|
| LBN Legal business name | Northwest Health Services, Inc |
| DBA Doing business as | Mound City Medical Clinc |
| 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 | 1437270915 | NPPES |
| Missouri | MEDICAID | 502111248 |
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