NPIMap

Organization Active NPI

Bothwell Regional Health Center

  • Rural Health Clinic/Center
  • Sedalia, MO
National Provider Identifier
1902854037
Registry record updated Jul 15, 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
3401 W 10TH St
Sedalia, MO 65301-2112
Phone
(660) 829-8811
NPI assigned
May 4, 2006
Organization subpart
Yes
Parent organization
BOTHWELL REGIONAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 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 1

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

Addresses

Primary practice location

3401 W 10TH St
Sedalia, MO 65301-2112

Mailing address

PO Box 801128
Kansas City, MO 64180-1128
Phone (660) 829-8811

Other names 2

  • Bothwell 10th Street Clinic Doing business as
  • Bothwell OB/GYN Associates 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
O20201023000575 MO Part A Provider - Rural Health Clinic 6103714126 Practice locations: Sedalia, MO

Rural health clinic certification: CCN 268788

Legal name
BOTHWELL REGIONAL HEALTH CENTER
Doing business as
BOTHWELL OB/GYN ASSOCIATES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 11, 2022
Last certification
May 11, 2025
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
3401 W 10TH St
Sedalia, MO 65301-2112
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
26D0446664Bothwell OB/GYN Associates3401 W 10TH Street, Sedalia, MO 65301Certificate of waiverNov 18, 2026

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
Ste 1
Sedalia, MO 65301

3700 W 10th St
Ste 100
Sedalia, MO 65301
Phone (660) 827-0015

Ownership & related parties

All disclosed owners & managing parties 15

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 Operational/Managerial ControlChief Executive Officer Jun 1, 2019
Jo Lynn Turley Individual Corporate DirectorBoard Member Dec 20, 2022
Michael Murders Individual Corporate DirectorBoard Member Dec 20, 2022
Carrie Scott Individual Corporate OfficerCfo Jan 1, 2026
Lisa Irwin Individual Corporate OfficerExecutive Director of HR Jan 1, 2019
Traves Williams Individual Corporate DirectorBoard Member Apr 8, 2026
Matthew Wirt Individual Corporate OfficerBoard Member Jul 7, 2025
Diana L Oconnor Individual W-2 Managing EmployeeDirector Financial Services May 14, 2013
Bothwell Regional Health Center Organization, Sedalia, MO Non-profit Other Jan 1, 2021 100%
Terri McCarthy Individual W-2 Managing EmployeeDirector Clinic Financials Jan 1, 2019
Jason Joy Individual Corporate DirectorBoard Member Jun 1, 2025
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 6

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 Health Center-Truman LakeWarsaw, MO, CCN 268598 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1998
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.

Practitioners & affiliated clinicians

Practitioners 109

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

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1902854037",
    "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",
            "telephone_number": "660-829-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W 10TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012112",
            "telephone_number": "660-829-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOTHWELL REGIONAL HEALTH CENTER",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothwell 10th Street Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bothwell OB/GYN Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedalia, MO

Sources for this page

Verify at the official NPI Registry.