BOTHWELL REGIONAL HEALTH CENTER (NPI# 1962875146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962875146 |
Entity Type | Organization |
Organization Name | BOTHWELL REGIONAL HEALTH CENTER |
Other Organization Name | BOTHWELL MEDICAL GROUP |
Practice Address |
3700 W 10th St Sedalia MO 65301-2540 |
Mailing Address |
601 E 14th St Po Box 1706 Sedalia MO 65301-5972 |
Practice Telephone | 6608272730 |
Practice Fax Number | 6608272731 |
Mailing Telephone | 6608268833 |
Mailing Fax Number | 6608273742 |
Enumeration Date | 2015-11-10 |
Last Update Date | 2015-11-10 |
Authorized Official Name | MR. JAMES A ROBERTSON JR. (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 6608279482 |
Is Organization Subpart | Y |
Parent Organization Name | BOTHWELL REGIONAL HEALTH CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Bothwell Medical Group | Doing Business As Name - Organization |
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 |
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 |
1033487194 | Bothwell Regional Health Center | Family Medicine | 3700 W 10th Street, Suite 203, Sedalia, MO 65301-2540 | 2011-12-05 |
Street Address |
3700 W 10TH ST |
City | SEDALIA |
State | MO |
Zip Code | 65301-2540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396742599 | Elizabeth A Current | Advanced Practice Midwife | 3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 | 2005-07-01 |
1508239781 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
1275886947 | Bothwell Internal Medicine | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2012-10-18 |
1659632016 | Bothwell Regional Health Center | Otolaryngology | 3700 W 10th St, Ste 300, Sedalia, MO 65301-2540 | 2012-06-01 |
1811008097 | Christine Deeths | Family Medicine | 3700 W 10th St, Suite 203, Sedalia, MO 65301-2540 | 2006-08-31 |
1700803756 | Henry C. Marquez | Internal Medicine | 3700 W 10th St, Suite 200, Sedalia, MO 65301-2540 | 2006-07-16 |
1740239581 | Grant Victor Hammons | Internal Medicine | 3700 W 10th St, Ste: 301, Sedalia, MO 65301-2540 | 2006-05-09 |
1902854037 | Bothwell Regional Health Center | Obstetrics & Gynecology | 3700 W 10th St, Suite 1, Sedalia, MO 65301-2540 | 2006-05-04 |
1588650741 | Gregory A Doak | Internal Medicine | 3700 W 10th St, Suite 301, Sedalia, MO 65301-2540 | 2005-09-23 |
1770580656 | Fay C Evans | Nurse Practitioner | 3700 W 10th St, Suite 100, Sedalia, MO 65301-2540 | 2005-07-07 |
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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 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851610059 | Alan A Allmon, D.o. P.C. | General Practice | 2700 Highway Tt, Sedalia, MO 65301-9021 | 2010-05-27 |
1508239781 | Bothwell Regional Health Center | General Practice | 3700 W 10th St, Sedalia, MO 65301-2540 | 2015-11-10 |
1922413509 | Kyle Montgomery Price | General Practice | 910 Thompson Blvd, Sedalia, MO 65301 | 2014-06-23 |
1528300126 | Bothwell Wound Services | General Practice | 667 E 15th St, Sedalia, MO 65301-7656 | 2013-03-21 |
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1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
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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.