MEDICARE: NORTHWEST HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2647773	OTHER		NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679227276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHWEST HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	300 W BUS HWY 36
Second Line	:
City	:	CHILLICOTHEE
State	:	MO
Zip	:	64601-3264
Country	:	US
Telephone Number	:	660-280-2502
Fax Number	:	816-463-8638

Provider Business Practice Location Address
First Line	:	300 W BUS HWY 36
Second Line	:
City	:	CHILLICOTHEE
State	:	MO
Zip	:	64601-3264
Country	:	US
Telephone Number	:	660-280-2502
Fax Number	:	816-463-8638

Authorized Official
Title or Position	:	CEO
Name	:	MATT YOUNGER
Credential	:
Telephone Number	:	816-385-5993

Provider Enumeration Date	:	02/11/2022
Last Update Date	:	03/02/2026

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Directions to “NORTHWEST HEALTH SERVICES INC ” Practice Location

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