| Organization Name: | NORTHWEST COMMUITY SERVICES AGENCY |
| NPI Number: | 1033269337 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS MCWHERTER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1604 W Reelfoot Ave Union City |
| State: | TN US |
| Postal Code: | 382615530 |
| Phone Number: | 7318842640 |
| Fax Number: | 7318842644 |
| NPI Enumeration Date: | 01/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347E00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Transportation Broker |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A public or private organization or business contracted to arrange non-emergency medical transportation services, including appropriate ancillary services, e.g., lodging. |