Northwest Family Health, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTHWEST FAMILY HEALTH, INC.

Doing business as

Dekalb Health Services

Practice address

1007 S Polk St
Maysville, MO 64469-4030

Phone

(816) 449-2123

Fax

(816) 449-2125

NPI assigned

Apr 11, 2007

Last updated

Dec 19, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred Kiehl, D.O.

Title

President

Phone

(816) 449-2123

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dekalb Health Services Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1215150735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694030",
            "telephone_number": "816-449-2123",
            "fax_number": "816-449-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S POLK ST",
            "city": "MAYSVILLE",
            "state": "MO",
            "postal_code": "644694030",
            "telephone_number": "816-449-2123",
            "fax_number": "816-449-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "KIEHL",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-449-2123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DB1347",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593197007",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "P900000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dekalb Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dekalb Clinton Ambulance District No 1
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• Dekalb County Senate Bill 40
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• Ginger R Neill Bundy, COTA/L
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• Elisa Eh Vinyard
• Heather Willits, FNP-C
• Sierra Rae Wolf, DPT

• Family Medicine Physician in Maysville, MO
• Providers in Maysville, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.