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Organization

BOTHWELL REGIONAL HEALTH CENTER

Active
Parent organization
BOTHWELL REGIONAL HEALTH CENTER
Other names
Bothwell OB/GYN Associates
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
3401 W 10TH ST, SEDALIA, MO 65301-2112
(660) 827-0015
(660) 827-7425
Mailing address
PO BOX 801128, KANSAS CITY, MO 64180-1128
(660) 827-0015
(660) 827-7425

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37038013
BLUE CROSS BLUE SHIELD
MO
05
590113783
MO
01
CK7172
PALMETTO GBA
MO
Enumeration date
05/04/2006
Last updated
04/21/2026
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