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CH07213E NORTHWEST HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
BRAYMER CLINIC
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006325
340B ID
CH07213E
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
10/1/1997
Participating Start Date
10/1/1997
Participating Approval Date
10/1/1997
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
109 MAIN STREET
BRAYMER, MO 64624-0036
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/12/05 - REMOVED MEDICAID # (501330435)
10/12/2005
May 2025
May 2025
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