NPIMap

Organization Active NPI

Western Missouri Medical Center

Doing business as Central Family and Sports Medicine

  • Rural Health Clinic/Center
  • Warrensburg, MO
National Provider Identifier
1285088666
Registry record updated Nov 1, 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
Central Family and Sports Medicine
Practice address
407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242
Phone
(660) 747-5114
Fax
(660) 747-5684
NPI assigned
Apr 21, 2016
Last updated
Nov 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242

Mailing address

407 E Russell Ave BLDG C
Warrensburg, MO 64093-1242
Phone (660) 747-5114

Other names 1

  • Central Family and Sports Medicine Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20160816002750 MO Part B Supplier - Clinic/Group Practice 6709171606 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Warrensburg, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285088666. Details of each certification follow.

Rural health clinic certification: CCN 268772

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CENTRAL FAMILY AND SPORTS MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 17, 2019
Last certification
Dec 17, 2019
Ownership / control type
Non-profit – church related
Facility address
407 E Russell Ave, BLDG C
Warrensburg, MO 64093
Related CCNs
260097

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

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 9

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": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1285088666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E RUSSELL AVE BLDG C",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640931242",
            "telephone_number": "660-747-5114",
            "fax_number": "660-747-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MISSOURI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "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": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Family and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Family and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.