BOTHWELL REGIONAL HEALTH CENTER (NPI# 1811961956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811961956 |
| Entity Type | Organization |
| Organization Name | BOTHWELL REGIONAL HEALTH CENTER |
| Practice Address |
601 E 14th St Sedalia MO 65301-5972 |
| Practice Telephone | 6608268833 |
| Practice Fax Number | 6608273742 |
| Mailing Telephone | 6608268833 |
| Mailing Fax Number | 6608273742 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | JAMES A ROBERTSON JR. (CFO) |
| Authorized Official Telephone | 6608279418 |
| Is Organization Subpart | Y |
| Parent Organization Name | BOTHWELL REGIONAL HEATLH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 22-48 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 90912012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548401896 | Bothwell Regional Health Center | Psychiatry & Neurology | 600 East 12th St, Sedalia, MO 65301 | 2009-03-17 |
| 1043401284 | Bothwell Regional Health Center | Internal Medicine | 110 Tower Dr, Sutie B, Warsaw, MO 65355 | 2007-08-05 |
| 1497705313 | Bothwell Regional Health Center | Family Medicine | 1201 E Main Street, Cole Camp, MO 65325-1256 | 2006-05-11 |
| 1871568790 | Bothwell Regional Health Center | General Acute Care Hospital | 3143 West Broadway, Sedalia, MO 65301-2116 | 2006-02-22 |
| 1588281844 | Bothwell Regional Health Center | Clinic/Center | 2925 Clinton Rd, Sedalia, MO 65301-7915 | 2020-07-02 |
| 1801410865 | Bothwell Regional Health Center | Clinic/Center | 2925 Clinton Rd, Sedalia, MO 65301-7915 | 2020-06-04 |
| 1508239781 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1962875146 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
| 1891040317 | Bothwell Regional Health Center | Surgery | 3300 W 10th St, Sedalia, MO 65301-2111 | 2012-07-20 |
| 1659632016 | Bothwell Regional Health Center | Otolaryngology | 3700 W 10th St, Ste 300, Sedalia, MO 65301-2540 | 2012-06-01 |
| Street Address |
601 E 14TH ST |
| City | SEDALIA |
| State | MO |
| Zip Code | 65301-5972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457349755 | William E Decker | Radiology | 601 E 14th St, Sedalia, MO 65301-5972 | 2005-10-11 |
| 1225660228 | Jennifer Gamber | Nurse Practitioner | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-02-07 |
| 1679113153 | Janice Renee Johnson | Registered Nurse | 601 E 14th St, Sedalia, MO 65301-5972 | 2020-01-13 |
| 1962900944 | Centennial Emergency Physicians LLC | Emergency Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1730687716 | Missouri Em-i Medical Services PC | Physician Assistant | 601 E 14th St, Sedalia, MO 65301-5972 | 2018-01-25 |
| 1598280166 | Bart D Kuhns | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-08-04 |
| 1477089753 | Andre Taylor | Preventive Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2017-05-05 |
| 1962856963 | Traci Marie Kristofik | Internal Medicine | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-04-16 |
| 1003278276 | Janet S Chance-hetzler | Clinical Nurse Specialist | 601 E 14th St, Sedalia, MO 65301-5972 | 2016-03-25 |
| 1396129722 | Chase Belnap | Nurse Anesthetist, Certified Registered | 601 E 14th St, Sedalia, MO 65301-5972 | 2015-07-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024962 | Eve's Doting Doula Care LLC | Doula | 28226 Hwy Tt, Sedalia, MO 65301 | 2019-10-09 |
| 1568938322 | Judith Jean Patrick | Occupational Therapist | 1520 Thompson Blvd, Sedalia, MO 65301 | 2018-10-19 |
| 1558843623 | Teddy Santiago | Contractor | 101b South Wasington, Sedalia, MO 65301 | 2018-09-05 |
| 1063991859 | Empowerme Rehabilitation Mo Agency | Occupational Therapist | 3751 West 10thstreet, Sedalia, MO 65301 | 2018-08-13 |
| 1780174375 | Sarah Elizabeth Cheatham | Specialist/Technologist | 115 W Broadway Blvd Ste 300, Sedalia, MO 65301 | 2018-05-18 |
| 1033617790 | Megan Marie Yonker | Nurse Practitioner | 821 Westwood Dr., Sedalia, MO 65301 | 2018-01-29 |
| 1801326236 | Angel Verlee Hale | Dentist | 4400 S. Limit, Sedalia, MO 65301 | 2017-06-18 |
| 1487192514 | Kami Parney | Emergency Medical Technician, Basic | 601 E 16th Street, Bothwell Regional Health Center, Sedalia, MO 65301 | 2017-02-09 |
| 1407216344 | Sylvia G. Thompson Residence Center, Inc. | Alzheimer Center (Dementia Center) | 975 Mitchell Road, Sedalia, MO 65301 | 2016-03-04 |
| 1174968721 | John Buckley | Physical Therapy Assistant | 1630 Hickory Lane, Sedalia, MO 65301 | 2013-05-08 |
| Find all providers in zip 65301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821116823 | John T Finley Inc | Skilled Nursing Facility | 1800 S Ingram Ave, Sedalia, MO 65301-7538 | 2007-03-27 |
| 1366491656 | Sylvia G. Thompson Residence Center | Skilled Nursing Facility | 3333 W 10th St, Sedalia, MO 65301-2113 | 2006-05-06 |
| 1538157367 | Four Seasons Living Center, LLC | Skilled Nursing Facility | 2800 Highway Tt, Sedalia, MO 65301-1410 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.