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CAH261328-00 NORTHWEST MEDICAL CENTER ASSOCIATION, INC. (Active)
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Main Details
Name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH261328-00
Medicare Provider Number
261328
Additional Details
Current Program Status
Active
Registration Date
9/13/2010
Participating Start Date
9/24/2010
Participating Approval Date
9/24/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Heartland Regional Medical Center
Drew Keesbury, Chief Financial Officer
(816) 271-7070
Primary Contact
Heartland Regional Medical Center
Gayle Linville, Manager Pharmacy Strategic Sourcing
(816) 271-6141
Addresses
Street Address
705 N. COLLEGE
ALBANY, MO 64402-1433
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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