Organization
BATES COUNTY MEMORIAL HOSPITAL AMBULANCE
Active
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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