Organization Name: | NORTHWEST HEALTH SERVICES, INC. |
NPI Number: | 1013297530 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN D. ERNST (C.E.O.) |
Mailing Address: | 850 Fairway Dr Chillicothe |
State: | MO US |
Postal Code: | 646013673 |
Phone Number: | 6606463802 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2011 |
NPI Last Update Date: | 06/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |