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Western Missouri Medical Center

Organization Active NPI Rural Health Clinic/Center · Warrensburg, MO

NPI 1346790508 · NPPES record last updated Nov 1, 2021

Key facts

NPI
1346790508
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
WESTERN MISSOURI MEDICAL CENTER
Practice address
513 Burkarth Rd
Warrensburg, MO 64093
Phone
(660) 747-7751
Fax
(660) 747-8398
NPI assigned
Oct 11, 2016
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 2

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

Other NPIs on the same Medicare enrollment 18

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 3

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

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

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in MO

Rural health clinic certification: CCN 268743

Legal name
WESTERN MISSOURI MEDICAL CENTER
Doing business as
FAMILY PRACTICE OF CENTRAL MISSOURI - WARRENSBURG
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 20, 1993
Last certification
May 13, 2019
Ownership / control type
2B
Most recent change of ownership
Nov 1, 2016 (1 total)
Organization structure
Government · Non-profit
Enrollment address
513 Burkarth Rd
Warrensburg, MO 64093-3103
Related CCNs
260097

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Rita White
Individual 		Corporate Officer Nov 1, 2016
Larry W Purcell
Individual 		Corporate Officer Nov 1, 2016
Stephanie Truex
Individual 		Corporate Officer
Governing Board Member		 Feb 1, 2026
Madison Harter
Individual 		Corporate Officer
Governing Board Member		 Feb 1, 2026
Western Missouri Medical Center
Organization · Warrensburg, MO
Medical provider/supplier 		5% Or Greater Direct Ownership Interest Feb 1, 2026 100%
Amanda Broderson
Individual 		W-2 Managing Employee
Credentialing Coordinator		 Jan 1, 2026
Lacey D Bredehoeft-Fiene
Individual 		Corporate Officer
Cfo		 Feb 1, 2026
W-2 Managing Employee
VP/Cfo		 Feb 1, 2026
Darinda J Dick
Individual 		W-2 Managing Employee
President/Ceo		 Feb 1, 2026
Kimberly Holtzclaw
Individual 		W-2 Managing Employee
Dir Medical Staff Business		 Feb 1, 2026
Greg Hassler
Individual 		Corporate Officer Nov 1, 2016

Medicare enrollment records

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
O20161215001405 MO Part a Provider - Rural Health Clinic 4183904865 1 other NPI on this enrollment
Practice locations: Warrensburg, MO
O20170512001582 MO Part B Supplier - Clinic/Group Practice 4183904865 Receives reassigned benefits from 21 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Warrensburg, MO; Higginsville, MO

National Provider Directory

Tax ID family
Family Practice of Central Missouri (4 organizations share this tax ID)

Locations

1200 W 22nd St
Higginsville, MO 64037
Phone (660) 262-7751

1200 W 22nd St
Ste A
Higginsville, MO 64037

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

513 Burkarth Rd
Warrensburg, MO 64093

Mailing address

513 Burkarth Rd
Warrensburg, MO 64093-3103
Phone (660) 747-7751

Other names

  • Family Practice of Central Missouri - Warrensburg Doing business as

Other providers in Warrensburg, MO

All providers in Warrensburg, MO · Rural Health Clinic/Center in Missouri

Sources for this page

Verify at the official NPI Registry.