BOTHWELL REGIONAL HEALTH CENTER — NPI 1043401284 (Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) in WARSAW, MO)

CMS-1500 Box 24J / 33a • NPI

1043401284

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207RS0012X (CMS 11)

Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)

Box 32 Service Location & ZIP+4

110 TOWER DR, SUTIE B, WARSAW, MO, 65355

Official NPPES Practice Location

Practice Phone & Referral Fax

(660) 438-0012

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1043401284 (BOTHWELL REGIONAL HEALTH CENTER) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1043401284` (NPI-2 Organization / Facility)
Provider / Legal Name	BOTHWELL REGIONAL HEALTH CENTER
Plain-English Specialty	Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) NUCC Code: `207RS0012X` (Internal Medicine, Sleep Medicine)
Certifying / Licensing Body	American Board of Internal Medicine (ABIM)
Practice Location Address	110 TOWER DR, SUTIE B, WARSAW, MO, 65355
Practice Telephone / Fax	Tel: (660) 438-0012
Administrative Mailing Address	PO BOX 1706, SEDALIA, MO, 65302-1706
Enumeration & Last Sync	Enumerated: 2007-08-05 \| CMS Record Updated: 2014-03-29
Authorized Official	JAMES ROBERTSON (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

110 TOWER DR, SUTIE B, WARSAW, MO, 65355

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Plain-English Taxonomy & CMS Crosswalk (207RS0012X)

What Does Taxonomy Code 207RS0012X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RS0012X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code C0 (Physician/Sleep Medicine)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BOTHWELL REGIONAL HEALTH CENTER)

Typical CPT / Diagnostic Procedures:

Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
Preoperative Medical Risk Assessment & Cardiac Clearance
Chronic Kidney, Hepatic & Metabolic Panel Interpretation
Adult Inpatient Hospitalist Management & Discharge Coordination

Common Therapeutic Classes:

Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207RS0012X` — Internal Medicine, Sleep Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BOTHWELL REGIONAL HEALTH CENTER (NPI #1043401284)