Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
BRHC Sleep 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
600 EAST 12TH ST, SEDALIA, MO 65301
(660) 827-9573
(660) 829-6606
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
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42191011
BLUE CROSS BLUE SHIELD OF KC
MO
Enumeration date
03/17/2009
Last updated
03/29/2014
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