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Organization
WESTERN MISSOURI MEDICAL CENTER
Active
Organization
WESTERN MISSOURI MEDICAL CENTER
Active
Other names
Central Family and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DEAN OHMART (CFO)
(660) 262-7307
Entity
Organization
Contact information
Practice address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
(660) 747-5684
Mailing address
407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
(660) 747-5114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/21/2016
Last updated
11/01/2021
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