| Northwest Health Services Inc | |
|
109 Main Street Braymer MO 64624 | |
| (660) 645-2218 | |
| (660) 645-2820 |
| Full Name | Northwest Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 Main Street, Braymer, Missouri |
| Authorized Official Name and Position | Matt Younger (CEO) |
| Authorized Official Contact | 8162326818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Health Services Inc 109 Main Street Braymer MO 64624-0036 Ph: (660) 645-2218 | Northwest Health Services Inc 109 Main Street Braymer MO 64624 Ph: (660) 645-2218 |
| NPI Number | 1215059209 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 7113835174 |
|---|---|
| Medicare Enrollment ID | O20080731000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215059209 | NPI | - | NPPES |
| 501330435 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |