| Northwest Health Services Inc | |
|
707 Victory Lane Cainsville MO 64632 | |
| (660) 893-5750 | |
| (660) 893-5751 |
| Full Name | Northwest Health Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 707 Victory Lane, Cainsville, 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 707 Victory Lane Cainsville MO 64632 Ph: (660) 893-5750 | Northwest Health Services Inc 707 Victory Lane Cainsville MO 64632 Ph: (660) 893-5750 |
| NPI Number | 1053433920 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/10/2021 |
| Medicare PECOS PAC ID | 7113835174 |
|---|---|
| Medicare Enrollment ID | O20030103000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053433920 | NPI | - | NPPES |
| 506065309 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |