NPIMap

Organization Active NPI

Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
National Provider Identifier
1194799726
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
22-48 Issued in MO
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Practice address
601 E 14TH St
Sedalia, MO 65301-5972
Phone
(660) 826-8833
Fax
(660) 827-3742
NPI assigned
Feb 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Warren Halsell
Title
Cfo
Phone
(660) 826-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 22-48 MO Primary

Addresses

Primary practice location

601 E 14TH St
Sedalia, MO 65301-5972

Mailing address

PO Box 1706
Sedalia, MO 65302-1706
Phone (660) 826-8833

Other identifiers 1

IdentifierTypeStateIssuer
90829011OtherMOBLUE CROSS REHAB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

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

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194799726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1706",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653021706",
            "telephone_number": "660-826-8833",
            "fax_number": "660-827-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-826-8833",
            "fax_number": "660-827-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALSELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "660-826-8833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "22-48",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REHAB",
            "identifier": "90829011",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.