Healthcare Provider Details

I. General information

NPI: 1437624871
Provider Name (Legal Business Name): NORTHWEST HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2018
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 S US HIGHWAY 169
GOWER MO
64454-9116
US

IV. Provider business mailing address

PO BOX 348
GOWER MO
64454-0348
US

V. Phone/Fax

Practice location:
  • Phone: 816-385-5995
  • Fax: 816-233-4484
Mailing address:
  • Phone: 816-385-5997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MATT YOUNGER
Title or Position: CEO
Credential:
Phone: 816-385-5993