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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 Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Primary Care

261QP2300X
Indicates primary specialty

NPI Profile & details for NORTHWEST MEDICAL CENTER ASSOCIATION, INC

NPI Number 1053452623
LBN Legal business name NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Authorized official DWIGHT CARVELL - (DIRECTOR OF REIMBURSEMENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/08/2007
Last updated 09/12/2024 - More than a year ago
Identifiers
MO Medicaid 505708305
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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