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CH07213Q NORTHWEST HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
CAINSVILLE MEDICAL CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006309
340B ID
CH07213Q
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/9/2004
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
Northwest Health Services
Matt Younger, CEO
(816) 307-5303
Primary Contact
Northwest Health Services
Miranda Phillips, Director of Pharmacy
(816) 385-5997
Addresses
Street Address
707 VICTORY LANE
CAINSVILLE, MO 64632
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE 10/01/2004
10/01/2004
May 2025
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