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Organization

BATES COUNTY MEMORIAL HOSPITAL AMBULANCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY WEAVER (CEO)
(660) 200-7000
Entity
Organization

Contact information

Practice address
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
(660) 200-7015
Mailing address
PO BOX 19793, BELFAST, ME 04915-4092
(660) 200-7000
(660) 200-7015

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
013005
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013005
STATE OF MISSOURI
MO
05
800673618
MO
Enumeration date
09/20/2006
Last updated
08/15/2023
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