NPIMap

Organization Active NPI

Western Missouri Medical Center

Doing business as Family Practice of Central Missouri - Warrensburg

  • Rural Health Clinic/Center
  • Warrensburg, MO
National Provider Identifier
1346790508
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
Family Practice of Central Missouri - Warrensburg
Practice address
513 Burkarth Rd
Warrensburg, MO 64093
Phone
(660) 747-7751
Fax
(660) 747-8398
NPI assigned
Oct 11, 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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

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 1

  • Family Practice of Central Missouri - Warrensburg Doing business as

Medicare participation

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

Enrollment records 3

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346790508. Details of each certification follow.

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
GovernmentNon-profit
Enrollment address
513 Burkarth Rd
Warrensburg, MO 64093-3103
Related CCNs
260097

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

Other NPIs with the same Medicare PAC ID 1

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

Other NPIs on the same Medicare enrollment 18

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

View all 18

National Provider Directory

National Provider Directory
Tax ID family
Family Practice of Central Missouri4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1200 W 22nd St
Ste A
Higginsville, MO 64037

Ownership & related parties

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 OfficerGoverning Board Member Feb 1, 2026
Madison Harter Individual Corporate OfficerGoverning 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 EmployeeCredentialing Coordinator Jan 1, 2026
Lacey D Bredehoeft-Fiene Individual Corporate OfficerCfo Feb 1, 2026
W-2 Managing EmployeeVP/Cfo Feb 1, 2026
Darinda J Dick Individual W-2 Managing EmployeePresident/Ceo Feb 1, 2026
Kimberly Holtzclaw Individual W-2 Managing EmployeeDir Medical Staff Business Feb 1, 2026
Greg Hassler Individual Corporate Officer Nov 1, 2016

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1346790508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933103",
            "telephone_number": "660-747-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "64093",
            "telephone_number": "660-747-7751",
            "fax_number": "660-747-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MISSOURI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Central Missouri - Warrensburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.