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SCH260097-07 WESTERN MISSOURI MEDICAL CENTER (Active)
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Main Details
Name
WESTERN MISSOURI MEDICAL CENTER
Subdivision Name
SURGICAL SERVICES
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260097-07
Medicare Provider Number
260097
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2013
Participating Start Date
4/1/2016
Participating Approval Date
9/9/2013
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Western Missouri Medical Center
Dean Ohmart, Chief Financial Officer
(660) 262-7307
Primary Contact
Western Missouri Medical Center
Mary E Chapa, 340B Coordinator
(660) 262-7257
Addresses
Street Address
407 Burkarth Rd
Suite 302
Warrensburg, MO 64093
Billing Address
Western Missouri Medical Center
PO Box 537
Warrensburg, MO 64093
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/14/16 CE reinstated effective 4/1/16, was participating from 10/1/13 to 6/30/15
03/14/2016
April 2025
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