NPIMap

Organization Active NPI

Bothwell Regional Health Center

Doing business as Bothwell Family Health

  • Rural Health Clinic/Center
  • Sedalia, MO
National Provider Identifier
1033487194
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Doing business as
Bothwell Family Health
Bothwell Primary Care
Practice address
3700 W 10TH St
Sedalia, MO 65301-2540
Phone
(660) 827-2500
Fax
(660) 827-2511
NPI assigned
Dec 5, 2011
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BOTHWELL REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Lori Wightman, CEO
Title
Chief Executive Officer
Phone
(660) 827-9481

Specialties & licenses 1

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

Addresses

Primary practice location

3700 W 10TH St
Sedalia, MO 65301-2540

Mailing address

PO Box 801128
Kansas City, MO 64180-1128
Phone (660) 827-2500

Other names 2

  • Bothwell Family Health Doing business as
  • Bothwell Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040310000246 MO Part B Supplier - Clinic/Group Practice 6103714126 Receives reassigned benefits from 206 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warsaw, MO; Sedalia, MO; Lincoln, MO; Cole Camp, MO
O20250610000491 MO Part A Provider - Rural Health Clinic 6103714126 Practice locations: Sedalia, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033487194. Details of each certification follow.

Rural health clinic certification: CCN 268812

Legal name
BOTHWELL REGIONAL HEALTH CENTER
Doing business as
BOTHWELL PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 28, 2025
Last certification
Dec 28, 2025
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
3700 W 10TH St
Sedalia, MO 65301-2540
Related CCNs
260009

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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0446693Bothwell Primary Care D/B/a Bothwell Family3700 W 10TH Street, Sedalia, MO 65301Certificate of waiverAug 3, 2026
26D2036925Bothwell Family Health3700 W 10TH St Ste 203, Sedalia, MO 65301Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory
Tax ID family
Home HLTH Care Equip SVCS10 organizations share this tax ID, including this one
Part of
Home HLTH Care Equip SVCS

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3401 W 10th St
Sedalia, MO 65301
Phone (660) 827-0015

3700 W 10th St
Ste 203
Sedalia, MO 65301
Phone (660) 827-2500

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Connie McLaughlin Individual Corporate OfficerBoard Member Jun 5, 2023
Lori L Wightman Individual Operational/Managerial ControlCeo Jun 1, 2019
Jo Lynn Turley Individual Corporate OfficerBoard Member Dec 20, 2022
Michael Murders Individual Corporate OfficerBoard Member Dec 20, 2022
Carrie Scott Individual Corporate OfficerCfo Jan 1, 2026
Lisa Irwin Individual Operational/Managerial ControlExec Director HR Jan 1, 2019
Traves Williams Individual Corporate DirectorBoard Member Apr 8, 2026
Matthew Wirt Individual Corporate DirectorBoard Member Jul 7, 2025
Diana L Oconnor Individual W-2 Managing EmployeeDirector Hospital Financials May 14, 2013
Bothwell Regional Health Center Organization, Sedalia, MO Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2025 100%
Terri McCarthy Individual W-2 Managing EmployeeDirector Clinic Financials Jan 1, 2019
Jason Joy Individual Corporate DirectorBoard Member Jun 1, 2025
Gregory a Doak Individual Corporate OfficerBoard Member Dec 20, 2022
Deidre Esquivel Individual Corporate OfficerBoard Member Jul 1, 2020
Michele Laas Individual Operational/Managerial ControlCno Mar 28, 2020

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bothwell Regional Health CenterSedalia, MO, CCN 260009 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Bothwell Regional Health CenterSedalia, MO, CCN 26U009 Hospital Operational/Managerial Control (100%) Jun 1, 2018
Bothwell Health Center-Truman LakeWarsaw, MO, CCN 268598 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
Bothwell OB/GYN AssociatesSedalia, MO, CCN 268788 Rural health clinic Other (100%) Jan 1, 2021
Cole Camp ClinicCole Camp, MO, CCN 268795 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2022

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1033487194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801128",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801128",
            "telephone_number": "660-827-2500",
            "fax_number": "660-827-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-2500",
            "fax_number": "660-827-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "enumeration_date": "2011-12-05",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "WIGHTMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "660-827-9481",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothwell Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bothwell Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.