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CAH261328-06 NORTHWEST MEDICAL CENTER ASSOCIATION, INC. (Active)
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Main Details
Name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
Subdivision Name
MOSAIC FAMILY CARE - STANBERRY
Type
Critical Access Hospital
Rural
No
340B ID
CAH261328-06
Medicare Provider Number
261328
Outpatient Facility Provider Number
263420
Additional Details
Current Program Status
Active
Registration Date
9/23/2010
Participating Start Date
9/27/2010
Participating Approval Date
9/27/2010
Last Recertification Date
8/13/2024
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
202 E. MAIN ST
STANBERRY, MO 64489
Billing Address
NORTHWEST MEDICAL CENTER ASSOCIATION, INC.
705 N. COLLEGE
ALBANY, MO 64402
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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