Provider Demographics
NPI:1346599230
Name:NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Entity Type:Organization
Organization Name:NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Other - Org Name:MOSAIC FAMILY CARE NEW HAMPTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:D
Authorized Official - Last Name:DOOLITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-726-3941
Mailing Address - Street 1:705 N. COLLEGE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:MO
Mailing Address - Zip Code:64402-1433
Mailing Address - Country:US
Mailing Address - Phone:660-726-3941
Mailing Address - Fax:660-726-3647
Practice Address - Street 1:304 E. LINCOLN WAY
Practice Address - Street 2:NMC-NEW HAMPTON RURAL HEALTH CLINIC
Practice Address - City:NEW HAMPTON
Practice Address - State:MO
Practice Address - Zip Code:64471-0222
Practice Address - Country:US
Practice Address - Phone:660-726-3941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-09-06
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health