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SCH260097-27 WESTERN MISSOURI MEDICAL CENTER (Active)
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Main Details
Name
WESTERN MISSOURI MEDICAL CENTER
Subdivision Name
RURAL HEALTH CLINIC V - CFSM
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH260097-27
Medicare Provider Number
260097
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/6/2020
Participating Start Date
7/1/2020
Participating Approval Date
5/11/2020
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 E RUSSELL AVE BLDG C
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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