NPIMap

Organization Active NPI

Northwest Medical Center Association, Inc

Doing business as Mosaic Family Care New Hampton

  • Rural Health Clinic/Center
  • New Hampton, MO
National Provider Identifier
1346599230
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NORTHWEST MEDICAL CENTER ASSOCIATION, INC
Doing business as
Mosaic Family Care New Hampton
Practice address
304 E. Lincoln Way
NMC-New Hampton Rural Health Clinic
New Hampton, MO 64471-0222
Phone
(660) 726-3941
NPI assigned
Sep 6, 2012
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWEST MEDICAL CENTER ASSOCIATION, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dwight Carvell
Title
Director of Reimbursement
Phone
(816) 273-0437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

304 E. Lincoln Way
NMC-New Hampton Rural Health Clinic
New Hampton, MO 64471-0222

Mailing address

705 N. College
Albany, MO 64402-1433
Phone (660) 726-3941

Other names 1

  • Mosaic Family Care New Hampton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224000204 MO Part B Supplier - Clinic/Group Practice 5496641896 Receives reassigned benefits from 205 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, MO; Grant City, MO; New Hampton, MO; Stanberry, MO
O20131127000843 MO Part A Provider - Rural Health Clinic 5496641896 Practice locations: New Hampton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346599230. Details of each certification follow.

Rural health clinic certification: CCN 268702

Legal name
NORTHWEST MEDICAL CENTER ASSOCIATION INC
Doing business as
MOSAIC FAMILY CARE NEW HAMPTON
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 1, 2014
Last certification
Apr 7, 2021
Ownership / control type
2B
Organization structure
OtherNon-profit
Incorporated
Jun 24, 1954 in MO
Enrollment address
304 E Lincoln Way
New Hampton, MO 64471-0222
Related CCNs
261328

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gentry County Memorial7 organizations share this tax ID, including this one
Part of
Gentry County Memorial

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Renee Hayes Individual W-2 Managing EmployeeSenior Net Revenue Analyst Sep 24, 2020
Michael M Poore Individual Corporate OfficerCeo Dec 1, 2022
Dwight Carvell Individual Corporate DirectorDirector of Reimbursement Dec 28, 2021
Northwest Medical Center Association Inc Organization, Albany, MO 5% Or Greater Direct Ownership Interest Dec 9, 2013 100%
Rachael Praiswater Individual W-2 Managing EmployeeProvider Enrollment Specialist Sep 28, 2020
Mosaic Health System Organization, Saint Joseph, MO 5% Or Greater Direct Ownership Interest Jan 1, 2015 100%
Cynthia G Patterson Individual W-2 Managing Employee Jan 1, 2019

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mosaic Medical Center AlbanyAlbany, MO, CCN 261328 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1967
Mosaic Medical Center AlbanyAlbany, MO, CCN 26Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 1967
Mosaic Family Care Grant CityGrant City, MO, CCN 268730 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 15

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 15

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1346599230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N. COLLEGE",
            "city": "ALBANY",
            "state": "MO",
            "postal_code": "644021433",
            "telephone_number": "660-726-3941",
            "fax_number": "660-726-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E. LINCOLN WAY",
            "address_2": "NMC-NEW HAMPTON RURAL HEALTH CLINIC",
            "city": "NEW HAMPTON",
            "state": "MO",
            "postal_code": "644710222",
            "telephone_number": "660-726-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL CENTER ASSOCIATION, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST MEDICAL CENTER ASSOCIATION, INC",
        "enumeration_date": "2012-09-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "CARVELL",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_title_or_position": "DIRECTOR OF REIMBURSEMENT",
        "authorized_official_telephone_number": "816-273-0437"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mosaic Family Care New Hampton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Hampton, MO

Sources for this page

Verify at the official NPI Registry.