Active NPI
Bothwell Regional Health Center Hospice
- Community Based Hospice Care Agency
- Sedalia, MO
National Provider Identifier
1457338758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 00010642
- Legal business name
- BOTHWELL REGIONAL HEALTH CENTER HOSPICE
- Practice address
- 3143 W Broadway Blvd
Sedalia, MO 65301-2116 - Phone
- (660) 829-2700
- Fax
- (660) 829-1740
- NPI assigned
- Dec 28, 2005
- Last updated
- Aug 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Dawes
- Title
- Ceo
- Phone
- (660) 827-9481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 00010642 | MO | Primary |
Addresses
Primary practice location
3143 W Broadway Blvd
Sedalia, MO 65301-2116
Mailing address
601 E 14TH Street
Sedalia, MO 65301-1706
Phone (660) 829-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 820157808 | Medicaid | MO |
Other names 1
- BOTHWELL REGIONAL HEALTH CENTER HOSPICE
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377129600000",
"number": "1457338758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 14TH STREET",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653011706",
"telephone_number": "660-829-2700",
"fax_number": "660-829-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3143 W BROADWAY BLVD",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653012116",
"telephone_number": "660-829-2700",
"fax_number": "660-829-1740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOTHWELL REGIONAL HEALTH CENTER HOSPICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-28",
"last_updated": "2013-08-22",
"status": "A",
"authorized_official_last_name": "DAWES",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "660-827-9481",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "MO",
"license": "00010642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "820157808",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BOTHWELL REGIONAL HEALTH CENTER HOSPICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Sedalia, MO
- Bothwell Regional Health Center (Bothwell TLC Pediatrics)
- Bothwell Regional Health Center (Bothwell Medical Equipment)
- Bothwell Regional Health Center (Bothwell Surgical Services)
- Bothwell Regional Health Center (Bothwell 10th Street Clinic)
- Bothwell Regional Health Center Ed
- Anne Marie Bott, OTR
- Danielle Bourbina, MA,CCC-SLP
- Joan Marie Bowen
- Cori Lynne Bradshaw, APRN
- Katy Branch, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.