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Organization

BOTHWELL REGIONAL HEALTH CENTER

Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Bothwell Family Health, Bothwell Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Authorized official
LORI WIGHTMAN CEO (CHIEF EXECUTIVE OFFICER)
(660) 827-9481
Entity
Organization

Contact information

Practice address
3700 W 10TH ST, SEDALIA, MO 65301-2540
(660) 827-2500
(660) 827-2511
Mailing address
PO BOX 801128, KANSAS CITY, MO 64180-1128
(660) 827-2500
(660) 827-2511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MO
Enumeration date
12/05/2011
Last updated
04/21/2026
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