Organization
BATES COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BATES COUNTY MEMORIAL HOSPITAL
Other names
Family Care Clinic High
Organization subpart
Yes
Provider details
NPI number
Legal business name
BATES COUNTY MEMORIAL HOSPITAL
Authorized official
GREGORY WEAVER (CEO)
(660) 200-7000
Entity
Organization
Contact information
Practice address
706 S HIGH ST, BUTLER, MO 64730-1833
(660) 200-7135
(660) 200-7015
Mailing address
706 S HIGH ST, BUTLER, MO 64730-1833
(660) 200-7135
(660) 200-7015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
205 45
MO
261QR1300X
Rural Health Clinic/Center
Primary
205 49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24435010
BLUE CROSS
MO
05
—
590472908
—
MO
Enumeration date
05/22/2006
Last updated
08/15/2023
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