National Provider Identifier Database

NORTHWEST MEDICAL CENTER ASSOCIATION INC
Rural Health


Contact Information

NORTHWEST MEDICAL CENTER ASSOCIATION, INC
16 W. 4TH ST.
GRANT CITY, MO64456
Phone: 660-564-3322
Fax: 660-564-3324
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for NORTHWEST MEDICAL CENTER ASSOCIATION, INC

NPI Number 1053452623
Legal business name
LBN
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Authorized official DWIGHT CARVELL - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart Yes
Enumeration date 02/08/2007
Last updated 09/12/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 505708305

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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