Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
BHC - Truman Lake
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Authorized official
JAMES A ROBERTSON (CFO)
(660) 827-9482
Entity
Organization
Contact information
Practice address
1765 COMMERCIAL ST, WARSAW, MO 65355-3096
(660) 468-3800
(660) 438-6525
Mailing address
601 E 14TH STREET, PO BOX 1706, SEDALIA, MO 65301-5972
(660) 826-8833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22602015
BLUE CROSS BLUE SHIELD OF KC
MO
05
—
505432005
—
MO
Enumeration date
11/06/2006
Last updated
04/17/2014
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