NPIMap

Organization Active NPI

Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Warsaw, MO
National Provider Identifier
1568412062
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOTHWELL REGIONAL HEALTH CENTER
Practice address
1765 Commercial St
Warsaw, MO 65355-3096
Phone
(660) 438-6800
Fax
(660) 438-6525
NPI assigned
May 12, 2006
Organization subpart
Yes
Parent organization
BOTHWELL REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

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

Addresses

Primary practice location

1765 Commercial St
Warsaw, MO 65355-3096

Mailing address

PO Box 801128
PO Box 1706
Kansas City, MO 64180-1128
Phone (866) 678-5627

Other names 1

  • Bothwell Health Center - Truman Lake Doing business as

Medicare participation

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

Enrollment records 2

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
O20040916001336 MO Part A Provider - Rural Health Clinic 6103714126 1 other NPI on this enrollment
Practice locations: Warsaw, MO

Rural health clinic certification: CCN 268598

Legal name
BOTHWELL REGIONAL HEALTH CENTER
Doing business as
BOTHWELL HEALTH CENTER-TRUMAN LAKE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 1, 2006
Last certification
Dec 10, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1765 Commercial St
Warsaw, MO 65355-3096
Related CCNs
260009

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

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 11

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0907178Bothwell Health Center-Truman Lake1765 Commercial Street, Warsaw, MO 65355Certificate of waiverDec 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Osage Valley Medical Ce10 organizations share this tax ID, including this one
Part of
Osage Valley Medical Ce

Other organizations with this tax ID 9

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

Locations

3700 W 10th St
#1
Sedalia, MO 65301

3700 W 10th St
Ste 300
Sedalia, MO 65301
Phone (660) 826-5226

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Connie McLaughlin Individual Corporate OfficerBoard Member Jun 5, 2023
Lori L Wightman Individual Corporate OfficerCeo Jun 1, 2019
Jo Lynn Turley Individual Corporate DirectorBoard Member Dec 20, 2022
Steven R Davis Individual Corporate OfficerCfo Jan 1, 2016
Andrew Dawson Individual Corporate DirectorBoard Member Apr 26, 2022
Philip J Fracica Individual Corporate OfficerChief Medical Officer Nov 16, 2015
Cassie Elizabeth Brown Individual Corporate DirectorBoard Member May 6, 2024
Michael Murders Individual Corporate DirectorBoard Member Dec 20, 2022
Lisa Irwin Individual Corporate OfficerExecutive Director of HR Jan 1, 2019
Marvin Smoot Individual Corporate OfficerVP Clinic Operations Nov 24, 2023
Matthew Wirt Individual Corporate OfficerBoard Member Jul 7, 2025
Diana L Oconnor Individual W-2 Managing EmployeeDirector of Patient Finance Serv Apr 16, 2013
Bothwell Regional Health Center Organization, Sedalia, MO Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1998 100%
Terri McCarthy Individual W-2 Managing EmployeeDirector Clinic Financials Jan 1, 2019
Gregory a Doak Individual Corporate DirectorBoard Member Dec 20, 2022
Deidre Esquivel Individual Corporate DirectorBoard Member Jul 7, 2020
Michele Laas Individual Corporate OfficerChief Nursing Officer Feb 28, 2022

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bothwell Regional Health CenterSedalia, MO, CCN 260009 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Bothwell Regional Health CenterSedalia, MO, CCN 26U009 Hospital Operational/Managerial Control (100%) Jun 1, 2018
Bothwell OB/GYN AssociatesSedalia, MO, CCN 268788 Rural health clinic Other (100%) Jan 1, 2021
Cole Camp ClinicCole Camp, MO, CCN 268795 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) May 1, 2022
Bothwell Primary CareSedalia, MO, CCN 268812 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2025

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1568412062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801128",
            "address_2": "PO BOX 1706",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641801128",
            "telephone_number": "866-678-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 COMMERCIAL ST",
            "city": "WARSAW",
            "state": "MO",
            "postal_code": "653553096",
            "telephone_number": "660-438-6800",
            "fax_number": "660-438-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "enumeration_date": "2006-05-12",
        "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": "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": "Bothwell Health Center - Truman Lake",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warsaw, MO

Sources for this page

Verify at the official NPI Registry.