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CH07213AE NORTHWEST HEALTH SERVICES INC (Active)
Main Details
Name
NORTHWEST HEALTH SERVICES INC
Subdivision Name
Northwest Health Services - Chillicothe
Type
HRSA-Funded Health Center
Site ID
BPS-H80-035777
340B ID
CH07213AE
Grant Number
H80CS00671
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
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
1/30/2024
Addresses
Street Address
300 W Business 36
Chillicothe, MO 64601-3362
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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