Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Bothwell Sleep Disorders Center
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
110 TOWER DR, SUTIE B, WARSAW, MO 65355
(660) 438-0012
Mailing address
PO BOX 1706, 601 E 14TH STREET, SEDALIA, MO 65302-1706
(660) 826-8833
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
509328902
—
MO
Enumeration date
08/05/2007
Last updated
03/29/2014
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