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CH07213AD NORTHWEST HEALTH SERVICES INC (Active)
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Main Details
Name
NORTHWEST HEALTH SERVICES INC
Subdivision Name
Northwest Health Mobile Unit
Type
HRSA-Funded Health Center
Site ID
BPS-H80-024852
340B ID
CH07213AD
Grant Number
H80CS00671
Additional Details
Current Program Status
Active
Registration Date
11/23/2022
Participating Start Date
11/29/2022
Participating Approval Date
11/29/2022
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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Participating starting 4/1/2019; Terminated 7/1/2021; Reinstated 11/29/2022
11/29/2022
Participating starting 4/1/2019; Terminated 7/1/2021; Reinstated 1/1/2023.
11/28/2022
June 2025
June 2025
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