KING CITY MEDICAL CLINIC
NPI 1790806842
Clinic/Center - Federally Qualified Health Center (FQHC) in King City, MO

Q: What is Northwest Health Services, Inc's NPI number?

The NPI number for Northwest Health Services, Inc is 1790806842. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as King City Medical Clinic.

Q: What is Northwest Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since April 03, 2007CLIA 26D0886816 · Waiver

305 RHODE ISLAND, KING CITY, MO 64463(660) 535-4347(660) 535-6240 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2021, Sep 13, 2021, Dec 22, 2020 and 1 more (4 updates tracked since 2018).

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About King City Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING CITY MEDICAL CLINIC (NPI 1790806842) is a healthcare organization registered as a federally qualified health center (fqhc) in King City, Missouri and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Matt Younger, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790806842

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameNORTHWEST HEALTH SERVICES, INC

Location Address305 RHODE ISLANDKing City, MO 64463

Mailing Address305 Rhode IslandKing City, MO 64463 · (660) 535-4347 · Fax (660) 535-6240

Phone(660) 535-4347

Fax(660) 535-6240

Organization SubpartNo

Authorized OfficialMatt YoungerCeo · (816) 232-6818

Enumeration DateApril 3, 2007

Last NPPES UpdateNovember 10, 20214 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1790806842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

305 RHODE ISLAND, King City, MO 64463

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Other Names 1

Doing Business AsKing City Medical Clinic

Other Identifiers 1

Medicaid502111271MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D0886816

Northwest Health Services Inc · King City, MO

Active · expires Jan 24, 2028

CLIA Number26D0886816

Laboratory TypeCommunity Clinic

Certificate Effective DateJanuary 25, 2026

Certificate Expiration DateJanuary 24, 2028

Laboratory DirectorTeresa Mead-Hahn

Laboratory Phone(660) 535-4347

Laboratory LocationNorthwest Health Services Inc305 Rhode Island, King City, MO 64463

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA C. PANKAU FNP

Nurse Practitioner (Family)

305 RHODE ISLAND
KING CITY, MO 64463

Gentry County (660) 535-4347

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northwest Health Services, Inc's NPI number?

The NPI number for Northwest Health Services, Inc is 1790806842. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider is doing business as King City Medical Clinic.

Where is Northwest Health Services, Inc located?

Northwest Health Services, Inc is located at 305 Rhode Island, King City, MO 64463. The listed phone number is (660) 535-4347.

What is Northwest Health Services, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Northwest Health Services, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0886816) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Northwest Health Services, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Northwest Health Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northwest Health Services, Inc was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.