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NPI Code Detail

MEDICARE: BATES COUNTY MEMORIAL HOSPITAL

MEDICARE: BATES COUNTY MEMORIAL HOSPITAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency324-20HHMO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2324-20HHOTHERMOHOME HEALTH LICENSE

General Provider Information

NPI Number : 1053359844
Entity Type Code : Organization
Provider Name (Legal Business Name) : BATES COUNTY MEMORIAL HOSPITAL
Provider Business Mailing Address
First Line : 615 W NURSERY ST
Second Line :
City : BUTLER
State : MO
Zip : 64730-1840
Country : US
Telephone Number : 660-200-7000
Fax Number : 660-200-7015
Provider Business Practice Location Address
First Line : 615 W NURSERY ST
Second Line :
City : BUTLER
State : MO
Zip : 64730-1840
Country : US
Telephone Number : 660-200-7000
Fax Number : 660-200-7015
Authorized Official
Title or Position : CEO
Name : GREGORY WEAVER
Credential :
Telephone Number : 660-200-7001
Provider Enumeration Date : 06/03/2006
Last Update Date : 08/15/2023

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1831142991 — MS. AIDA G LAWRENCE CRNA
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1124071113 — MR. TIMOTHY BRANNON CRNA
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1770536740 — BATES COUNTY MEMORIAL HOSPITAL
Practice Location Address:
615 W NURSERY ST
BUTLER, MO
64730-1840
Practice Phone: 660-200-7000
Practice Fax: 660-200-7004

Directions to “BATES COUNTY MEMORIAL HOSPITAL ” Practice Location

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