| Organization Name: | NORTHWEST HEALTH SERVICES INC |
| NPI Number: | 1467497677 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BENJAMIN D. ERNST (C.E.O.) |
| Mailing Address: | 2303 Village Drive St. Joseph |
| State: | MO US |
| Postal Code: | 645064954 |
| Phone Number: | 8162326818 |
| Fax Number: | 8162322696 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 01/21/2013 |
| 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: | |