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Bothwell Regional Health Center

Organization Active NPI General Practice Physician · Sedalia, MO

NPI 1508239781 · NPPES record last updated Apr 21, 2026

Key facts

NPI
1508239781
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Practice address
3700 W 10TH St
Sedalia, MO 65301-2540
Phone
(660) 827-2730
Fax
(660) 827-2731
NPI assigned
Nov 10, 2015
Organization subpart
Yes
Parent organization (as reported)
BOTHWELL REGIONAL HEALTH CENTER

Authorized official

Name
Lori Wightman
Title
Ceo
Phone
(660) 827-9481

Other NPIs on the same Medicare enrollment 11

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Practitioners 119

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

View all 119

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MO

Medicare enrollment records

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

National Provider Directory

Part of
Osage Valley Medical Ce

Locations

302 S 65 Hwy
Lincoln, MO 65338
Phone (660) 547-3915

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

700 S Hancock Ave
Sedalia, MO 65301
Phone (660) 827-4664

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208D00000X Yes

Addresses

Primary practice location

3700 W 10TH St
Sedalia, MO 65301-2540

Mailing address

PO Box 801128
Kansas City, MO 64180-1128

Other names

  • Bothwell Physicians Group Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2026.

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1508239781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801128",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-2730",
            "fax_number": "660-827-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "enumeration_date": "2015-11-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "WIGHTMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-827-9481"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothwell Physicians Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

All providers in Sedalia, MO · General Practice Physician in Missouri

Sources for this page

Verify at the official NPI Registry.