Organization
BOTHWELL REGIONAL HEALTH CENTER
Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Bothwell Surgical Services
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
3300 W 10TH ST, SEDALIA, MO 65301-2111
(660) 827-0423
(660) 827-5510
Mailing address
601 E 14TH ST, PO BOX 1706, SEDALIA, MO 65301-5972
(660) 826-8833
(660) 827-3742
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MO
Enumeration date
07/20/2012
Last updated
04/17/2014
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