NPIMap

Organization Active NPI

Northwest Health Services, Inc.

Doing business as Downtown Health Center

  • Federally Qualified Health Center (FQHC)
  • Saint Joseph, MO
National Provider Identifier
1861646168
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHWEST HEALTH SERVICES, INC.
Doing business as
Downtown Health Center
Practice address
503 S 6TH St
Saint Joseph, MO 64501-2224
Phone
(816) 233-5188
NPI assigned
Nov 13, 2008
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Matt Younger
Title
Ceo
Phone
(816) 232-6818

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MO Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

503 S 6TH St
Saint Joseph, MO 64501-2224

Mailing address

2303 Village Dr
Saint Joseph, MO 64506-4954
Phone (816) 271-8219

Other practice location 1

904 S 10th St
Saint Joseph, MO 64503-2405
Phone (816) 233-8536

Other identifiers 2

IdentifierTypeStateIssuer
261031OtherMOFQHC FACILITY NUMBER
F290000AOtherMEDICARE PART B ID

Other names 1

  • Downtown Health Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040720001347 MO Part B Supplier - Clinic/Group Practice 7113835174 Receives reassigned benefits from 24 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gower, MO; Savannah, MO; Saint Joseph, MO; King City, MO; Hamilton, MO; Braymer, MO; Chillicothe, MO; Cainsville, MO…
O20090102000423 MO Part A Provider - Federally Qualified Health Center (FQHC) 7113835174 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint Joseph, MO

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1861646168. Details of each certification follow.

Federally qualified health center certification: CCN 261031

Legal name
NORTHWEST HEALTH SERVICES INC
Doing business as
DOWNTOWN HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 19, 2009
Last certification
Jan 19, 2009
Ownership / control type
For profit – corporation
Organization structure
OtherNon-profit
Enrollment address
925 Felix St
Saint Joseph, MO 64501-2706

Federally qualified health center certification: CCN 261842

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 3, 1997
Last certification
Feb 3, 1997
Ownership / control type
For profit – partnership
Facility address
904 S 10TH
Saint Joseph, MO 64503

Other NPIs on the same Medicare enrollment 17

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

View all 17

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Kimberly Ireland Individual Corporate DirectorBoard Member Apr 7, 2016 100%
Denise K Jennings Individual Corporate Officer Mar 1, 2021
Jennifer McKinley Individual Corporate Officer Jun 1, 2019
Elizabeth Miller Individual W-2 Managing EmployeeAd; Jul 28, 2025
Whitney Lanning Individual Corporate DirectorBoard of Directors President Jan 1, 2020 100%
Kevin Haywood Individual Corporate Officer Dec 1, 2021
Lanny Ellis Individual Corporate Officer Dec 1, 2021
Steve Loucks Individual Corporate Officer May 1, 2013
Corporate DirectorBoard Member Apr 7, 2016 100%
Sherry Weldon Individual Corporate OfficerBoard Secretary Jun 1, 2019
Corporate DirectorBoard of Directors Secretary Jan 1, 2020 100%
Tina R Taylor Individual Corporate OfficerCfo Mar 1, 2016 100%
Corporate DirectorCfo Jun 1, 2005
W-2 Managing Employee Mar 1, 2016 100%
Robin Moppin Individual W-2 Managing EmployeeBilling & Coding Manager Feb 1, 2020 100%
Operational/Managerial ControlBilling & Coding Manager Feb 1, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

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": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1861646168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954",
            "telephone_number": "816-271-8219",
            "fax_number": "816-232-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 6TH ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645012224",
            "telephone_number": "816-233-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645032405",
            "country_code": "US",
            "telephone_number": "816-233-8536",
            "fax_number": "816-233-5296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "816-232-6818"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MO",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC FACILITY NUMBER",
            "identifier": "261031",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B ID",
            "identifier": "F290000A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Downtown Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.