| Bothwell Health Center - Truman Lake | |
|
1765 Commercial St Warsaw MO 65355-3096 | |
| (660) 438-6800 | |
| (660) 438-6525 |
| Full Name | Bothwell Health Center - Truman Lake |
|---|---|
| Speciality | Clinic/Center |
| Location | 1765 Commercial St, Warsaw, Missouri |
| Authorized Official Name and Position | James A Robertson (CFO) |
| Authorized Official Contact | 6608279482 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bothwell Health Center - Truman Lake 601 E 14th St Po Box 1706 Sedalia MO 65301-5972 Ph: (866) 678-5627 | Bothwell Health Center - Truman Lake 1765 Commercial St Warsaw MO 65355-3096 Ph: (660) 438-6800 |
| NPI Number | 1568412062 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/17/2014 |
| Medicare PECOS PAC ID | 6103714126 |
|---|---|
| Medicare Enrollment ID | O20040916001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568412062 | NPI | - | NPPES |
| 595432006 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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