# BOTHWELL REGIONAL HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BOTHWELL REGIONAL HEALTH CENTER
- **Other names:** Bothwell Sleep Disorders Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043401284
- **Legal business name:** BOTHWELL REGIONAL HEALTH CENTER
- **Authorized official:** JAMES A ROBERTSON (CFO)
- **Authorized official phone:** (660) 827-9482

## Contact information

- **Practice address:** 110 TOWER DR, SUTIE B, WARSAW, MO 65355
- **Practice address phone:** (660) 438-0012
- **Mailing address:** PO BOX 1706, 601 E 14TH STREET, SEDALIA, MO 65302-1706
- **Mailing address phone:** (660) 826-8833
- **Mailing address fax:** (660) 827-3742

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 03/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 509328902 | — | MO |