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Contact Information

BOTHWELL REGIONAL HEALTH CENTER ED
601 E 14TH ST
SEDALIA, MO65301-5972
 Phone: 660-826-8833
 Fax: 660-827-3742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for BOTHWELL REGIONAL HEALTH CENTER ED · (Female)

NPI Number 1639345077
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2008
Last updated 05/06/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO Medicaid 10157808
  • MO Medicaid 540157807
  • MO Other 00185-026 BLUE CROSS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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