Western Missouri Medical Center
Organization Active NPI Rural Health Clinic/Center · Warrensburg, MO
NPI 1033106166 · NPPES record last updated Nov 8, 2021
Key facts
- NPI
- 1033106166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- WESTERN MISSOURI MEDICAL CENTER
- Practice address
- 415 Burkarth Rd Ste a
Warrensburg, MO 64093 - Phone
- (660) 429-2228
- Fax
- (660) 262-7418
- NPI assigned
- Oct 4, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Dean Ohmart
- Title
- Cfo
- Phone
- (660) 262-7307
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Practitioners 15
-
Krysta C Ramirez Henry, DNP, CNM, PMHNP-BC
-
Ashley L Alumbaugh, M.D.
-
Jeanne Lynn Birchmier, D.O.
-
Connie Lynn Johnson, CNM
-
Adonius Michelle Wright, MSN, RN, WHNP-BC
-
Merle J Hodges, MD
-
Deborah L Gregory, D.O.
-
Rachel Henderson, CNM
-
Kent Tegeler, M.D.
-
Jayme Lynn Burman, CNM
-
Christy Evers, CNM
-
Donald G Peghee Jr., M.D.
-
Emily Martinez, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO
Rural health clinic certification: CCN 268533
- Legal name
- WESTERN MISSOURI MEDICAL CENTER
- Doing business as
- WESTERN MISSOURI WOMEN'S HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 27, 2001
- Last certification
- Oct 1, 2019
- Ownership / control type
- Non-profit – church related
- Organization structure
- Government · Non-profit
- Enrollment address
- 415 Burkarth Rd
Ste a
Warrensburg, MO 64093-3120 - Related CCNs
- 260097
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Western Missouri Medical Center |
5% Or Greater Direct Ownership Interest | Oct 1, 2024 | 100% |
| Stephanie Truex |
Corporate Officer | Feb 1, 2026 | |
| Madison Harter |
Corporate Officer | Feb 1, 2026 | |
| Amanda Broderson |
W-2 Managing Employee |
Jan 1, 2024 | |
| Lacey D Bredehoeft-Fiene |
W-2 Managing Employee |
Feb 1, 2026 | |
| Darinda J Dick |
W-2 Managing Employee |
Feb 1, 2026 | |
| Stefanie Hannah |
W-2 Managing Employee |
Feb 1, 2026 | |
| Kimberly Holtzclaw |
W-2 Managing Employee |
Feb 1, 2026 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040528000630 | MO | Part B Supplier - Clinic/Group Practice | 2062493653 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment Practice locations: Warrensburg, MO |
| O20040616000777 | MO | Part B Supplier - Clinic/Group Practice | 7416931506 |
Receives reassigned benefits from 138 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Warrensburg, MO |
| O20080219000758 | MO | Part a Provider - Rural Health Clinic | 2062493653 |
1 other NPI on this enrollment Practice locations: Warrensburg, MO |
National Provider Directory
- Tax ID family
- Western Missouri Family Express Care
Locations
514 Burkarth Rd
Ste A
Warrensburg, MO 64093
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
415 Burkarth Rd Ste a
Warrensburg, MO 64093
Mailing address
415 Burkarth Rd Ste a
Warrensburg, MO 64093-3120
Phone (660) 429-2228
Other names
- Western Missouri Women's Health Center
Other providers in Warrensburg, MO
- Katie Joy Weeden
- Staley Wessel
- West-Central Independent Living Solutions
- West-Central Independent Living Solutions
- Western Missouri Bone and Joint, Inc.
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
- Western Missouri Medical Center
All providers in Warrensburg, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.