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CH072130 NORTHWEST HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
FAMILY MEDICINE ASSOCIATES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002392
340B ID
CH072130
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
10/1/1997
Participating Start Date
10/1/1997
Participating Approval Date
4/14/2004
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
2303 Village Dr
Saint Joseph, MO 64506-4954
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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6/22/11 UPDATED PHYS ADD (WAS 3110 KARNES ROAD, STE #220); 10/12/05 UPDATED ADDR (WAS 502 STATE STREET, PO BOX 188, MOUND CITY, MO 64470); REMOVED MEDICAID # (WAS 502111248)
06/22/2011
May 2025
May 2025
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