| Western Missouri Medical Center | |
|
905 S Main St Concordia MO 64020 | |
| (660) 463-7966 | |
| (660) 463-7729 |
| Full Name | Western Missouri Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 905 S Main St, Concordia, Missouri |
| Authorized Official Name and Position | Michael Dean Ohmart (CFO) |
| Authorized Official Contact | 6602627307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Missouri Medical Center 905 S Main St Concordia MO 64020-8335 Ph: (660) 463-7966 | Western Missouri Medical Center 905 S Main St Concordia MO 64020 Ph: (660) 463-7966 |
| NPI Number | 1215388293 |
|---|---|
| Provider Enumeration Date | 06/30/2016 |
| Last Update Date | 11/01/2021 |
| Medicare PECOS PAC ID | 5092852111 |
|---|---|
| Medicare Enrollment ID | O20091022000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215388293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Faye Yates |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518939230 PECOS PAC ID: 6608813357 Enrollment ID: I20050413001135 |
| Provider Name | David Washington Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952323370 PECOS PAC ID: 4789617176 Enrollment ID: I20050916000345 |
| Provider Name | Brent K Hoke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508884453 PECOS PAC ID: 8325071715 Enrollment ID: I20050916000355 |
| Provider Name | Deborah L Gregory |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992774111 PECOS PAC ID: 0446285969 Enrollment ID: I20051003000744 |
| Provider Name | Jeanne Lynn Birchmier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740277847 PECOS PAC ID: 8325006174 Enrollment ID: I20051012001004 |
| Provider Name | Patricia Gawf-garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508854670 PECOS PAC ID: 3072692961 Enrollment ID: I20080502000644 |
| Provider Name | Rebecca A Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649453481 PECOS PAC ID: 4183793128 Enrollment ID: I20080516000727 |
| Provider Name | David V Pulliam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417915372 PECOS PAC ID: 0345375184 Enrollment ID: I20100329000178 |
| Provider Name | Kendra F. Butner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609958891 PECOS PAC ID: 9537297031 Enrollment ID: I20100504000247 |
| Provider Name | Dana C Brewington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831301126 PECOS PAC ID: 2860526472 Enrollment ID: I20100818000832 |
| Provider Name | Krysta C Ramirez Henry |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1902191166 PECOS PAC ID: 5698945178 Enrollment ID: I20110822000052 |
| Provider Name | Debbie L Freels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851398044 PECOS PAC ID: 1658353453 Enrollment ID: I20121112000210 |
| Provider Name | Drew W Glover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992094908 PECOS PAC ID: 0941445563 Enrollment ID: I20130401000380 |
| Provider Name | Ashley L Alumbaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669783429 PECOS PAC ID: 1254559255 Enrollment ID: I20140904002660 |
| Provider Name | Haley E Maxon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578955159 PECOS PAC ID: 6507185659 Enrollment ID: I20150512001572 |
| Provider Name | Muhammad Asif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104055326 PECOS PAC ID: 6305081829 Enrollment ID: I20150714002189 |
| Provider Name | Jennifer Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760848410 PECOS PAC ID: 9032409669 Enrollment ID: I20160609001285 |
| Provider Name | Jill Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326596560 PECOS PAC ID: 5193004703 Enrollment ID: I20161122000479 |
| Provider Name | Jacquelyn Addington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053845966 PECOS PAC ID: 8527337971 Enrollment ID: I20170628003291 |
| Provider Name | Adonius Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902105901 PECOS PAC ID: 0941570527 Enrollment ID: I20170714002562 |
| Provider Name | Sarah Nicole Kirchhoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629459045 PECOS PAC ID: 3375857006 Enrollment ID: I20181009001893 |
| Provider Name | Kenyon M Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447816855 PECOS PAC ID: 1658614946 Enrollment ID: I20190530002179 |
| Provider Name | Christy A Evers |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164083713 PECOS PAC ID: 2567799216 Enrollment ID: I20190805000212 |
| Provider Name | Megan L Stutheit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972155232 PECOS PAC ID: 2062740012 Enrollment ID: I20190828003857 |
| Provider Name | Dawn Diamond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528601812 PECOS PAC ID: 8527494004 Enrollment ID: I20200131000069 |
| Provider Name | Jillian C Simmons |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1659918019 PECOS PAC ID: 7113354515 Enrollment ID: I20200225000810 |
| Provider Name | Brandon Abbott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356875702 PECOS PAC ID: 9133549819 Enrollment ID: I20201019001973 |
| Provider Name | Sarah Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538709266 PECOS PAC ID: 7719396209 Enrollment ID: I20210513001603 |
| Provider Name | Sara A Howe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477059053 PECOS PAC ID: 8527315407 Enrollment ID: I20211026002205 |
| Provider Name | Deanna G Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497409916 PECOS PAC ID: 5799178695 Enrollment ID: I20220216001368 |
| Provider Name | Suzanne Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841957941 PECOS PAC ID: 5294121778 Enrollment ID: I20220409000205 |
| Provider Name | Ciara Pennock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609531623 PECOS PAC ID: 3274920574 Enrollment ID: I20220504002118 |
| Provider Name | Anika L Livingston-browdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700659083 PECOS PAC ID: 7214387570 Enrollment ID: I20231228002189 |
| Provider Name | Erin R Sprigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962196857 PECOS PAC ID: 0042657561 Enrollment ID: I20240320001201 |
| Provider Name | Wren Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124846670 PECOS PAC ID: 3779019864 Enrollment ID: I20241212002476 |
Jared J Dirks Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 Fax: 660-463-7729 | |
Cah Acquisition Company #6 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 S Main, Suite B, Concordia, MO 64020 Phone: 660-463-1010 Fax: 660-463-1070 | |
Cah Acquisition Company 6 Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 607 S Main Street, Suite B, Concordia, MO 64021 Phone: 660-463-1010 Fax: 660-463-1070 | |
Western Missouri Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 S Main St, Concordia, MO 64020 Phone: 660-463-7966 | |
Hcc Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 North Bismark, Suite A, Concordia, MO 64020 Phone: 877-344-3572 Fax: 866-228-4492 |