Organization
BATES COUNTY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W HAYNIE M.D. (PRESIDENT)
(660) 679-3118
Entity
Organization
Contact information
Practice address
706 S HIGH ST, BUTLER, MO 64730-1833
(660) 679-3118
(660) 679-6328
Mailing address
PO BOX 390, BUTLER, MO 64730-0390
(660) 679-3118
(660) 679-6328
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500472907
—
MO
Enumeration date
07/06/2006
Last updated
05/19/2009
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