| 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 |