NPIMap

Organization Active NPI

Western Missouri Medical Center

Doing business as Western Missouri Women's Health Center

  • Rural Health Clinic/Center
  • Warrensburg, MO
National Provider Identifier
1033106166
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WESTERN MISSOURI MEDICAL CENTER
Doing business as
Western Missouri Women's Health Center
Practice address
415 Burkarth Rd Ste a
Warrensburg, MO 64093
Phone
(660) 429-2228
Fax
(660) 262-7418
NPI assigned
Oct 4, 2005
Last updated
Nov 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Dean Ohmart
Title
Cfo
Phone
(660) 262-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Western Missouri Women's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033106166. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
415 Burkarth Rd
Ste a
Warrensburg, MO 64093-3120
Related CCNs
260097

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Tax ID family
Western Missouri Family Express Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

514 Burkarth Rd
Ste A
Warrensburg, MO 64093

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Western Missouri Medical Center Organization, Warrensburg, MO Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Oct 1, 2024 100%
Stephanie Truex Individual Corporate Officer Feb 1, 2026
Madison Harter Individual Corporate Officer Feb 1, 2026
Amanda Broderson Individual W-2 Managing EmployeeCredentialing Coordinator Jan 1, 2024
Lacey D Bredehoeft-Fiene Individual W-2 Managing EmployeeChief Financial Officer Feb 1, 2026
Darinda J Dick Individual W-2 Managing EmployeePresident/Ceo Feb 1, 2026
Stefanie Hannah Individual W-2 Managing EmployeeExecutive Admin, Medical Staff Feb 1, 2026
Kimberly Holtzclaw Individual W-2 Managing EmployeeMedical Staff Director Feb 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1033106166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933120",
            "telephone_number": "660-429-2228",
            "fax_number": "660-429-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BURKARTH RD STE A",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "64093",
            "telephone_number": "660-429-2228",
            "fax_number": "660-262-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MISSOURI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "OHMART",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-262-7307"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Missouri Women's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.