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CH07213U NORTHWEST HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
SOUTH SIDE HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002442
340B ID
CH07213U
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
4/1/2005
Participating Start Date
4/1/2005
Participating Approval Date
1/27/2005
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
5001 Lake Ave
Saint Joseph, MO 64504-1170
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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