Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WARREN HALSELL (CFO)
(660) 826-8833
Entity
Organization
Contact information
Practice address
601 E 14TH ST, SEDALIA, MO 65301-5972
(660) 826-8833
(660) 827-3742
Mailing address
PO BOX 1706, SEDALIA, MO 65302-1706
(660) 826-8833
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22-48
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90829011
BLUE CROSS REHAB
MO
Enumeration date
02/13/2006
Last updated
08/22/2020
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