Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Cole Camp Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Authorized official
LORI WIGHTMAN (CEO)
(660) 827-9481
Entity
Organization
Contact information
Practice address
1201 E MAIN STREET, COLE CAMP, MO 65325-1256
(660) 668-4411
(660) 668-4861
Mailing address
PO BOX 801128, KANSAS CITY, MO 64180-1128
(660) 668-4411
(660) 668-4861
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212202
HEALTHLINK PIN
MO
01
—
4649395
AETNA PIN
MO
05
—
507959500
—
MO
01
—
E69550
MERCY HEALTH PLANS PIN
MO
Enumeration date
05/11/2006
Last updated
04/21/2026
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