# WESTERN MISSOURI MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Central Family and Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285088666
- **Authorized official:** MICHAEL DEAN OHMART (CFO)
- **Authorized official phone:** (660) 262-7307

## Contact information

- **Practice address:** 407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
- **Practice address phone:** (660) 747-5114
- **Practice address fax:** (660) 747-5684
- **Mailing address:** 407 E RUSSELL AVE BLDG C, WARRENSBURG, MO 64093-1242
- **Mailing address phone:** (660) 747-5114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2016
- **Last updated:** 11/01/2021