Organization
BATES COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BATES COUNTY MEMORIAL HOSPITAL
Other names
BCMH Surgical Care Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BATES COUNTY MEMORIAL HOSPITAL
Authorized official
GREG A 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
615 W NURSERY ST, BUTLER, MO 64730-1840
(660) 200-7000
(660) 200-7015
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2000165893
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37710014
BLUE CROSS BLUE SHIELD
MO
05
—
540673605
—
MO
Enumeration date
03/07/2007
Last updated
08/15/2023
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