Organization
BOTHWELL REGIONAL HEALTH CENTER HOSPICE
Active
Other names
BOTHWELL REGIONAL HEALTH CENTER HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DAWES (CEO)
(660) 827-9481
Entity
Organization
Contact information
Practice address
3143 W BROADWAY BLVD, SEDALIA, MO 65301-2116
(660) 829-2700
(660) 829-1740
Mailing address
601 E 14TH STREET, SEDALIA, MO 65301-1706
(660) 829-2700
(660) 829-1740
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
00010642
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820157808
—
MO
Enumeration date
12/28/2005
Last updated
08/22/2013
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