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CH07213AA NORTHWEST HEALTH SERVICES, INC. (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES, INC.
Subdivision Name
Northwest Family Dental and Behavioral Health
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013703
340B ID
CH07213AA
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
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
3608 FARAON ST
SAINT JOSEPH, MO 64506-3044
Billing Address
Northwest Health Services
2303 Village Drive
Saint Joseph, MO 64506
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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