NPIMap

Organization Active NPI

Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Sedalia, MO
National Provider Identifier
1801410865
Registry record updated Jun 4, 2020
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
2925 Clinton Rd
Sedalia, MO 65301-7915
Phone
(585) 266-0829
NPI assigned
Jun 4, 2020
Organization subpart
Yes
Parent organization
BOTHWELL REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Terri S McCarthy
Title
Director Clinic Financials
Phone
(660) 827-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2925 Clinton Rd
Sedalia, MO 65301-7915

Mailing address

601 E 14TH St
Sedalia, MO 65301-5972
Phone (660) 827-9407

Other practice location 1

915 S ODell Ave
Marshall, MO 65340-2603
Phone (660) 886-3737

Other names 1

  • Bothwell TLC Pediatrics Doing business as

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

2925 Clinton Rd
Sedalia, MO 65301
Phone (660) 829-5852

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1801410865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-827-9407",
            "fax_number": "660-829-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 CLINTON RD",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653017915",
            "telephone_number": "585-266-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 S ODell Ave",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MO",
            "postal_code": "653402603",
            "country_code": "US",
            "telephone_number": "660-886-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR CLINIC FINANCIALS",
        "authorized_official_telephone_number": "660-827-9407"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothwell TLC Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.