Organization
BRHC
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Missouri Heart-Sedalia
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Authorized official
MR. JAMES A ROBERTSON JR. (CFO)
(660) 827-9482
Entity
Organization
Contact information
Practice address
3700 W 10TH STREET, SUITE 200, SEDALIA, MO 65301-2540
(660) 827-1771
(660) 827-1488
Mailing address
601 E 14TH ST, PO BOX 1706, SEDALIA, MO 65301-5972
(866) 678-5627
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45896011
BLUE CROSS
MO
05
—
PENDING
—
MO
Enumeration date
08/19/2011
Last updated
12/02/2014
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