MEDICARE: JAMES H BATES MD PLLC

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
1	208100000X	Physical Medicine & Rehabilitation Physician	M7754	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699973701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES H BATES MD PLLC

Provider Business Mailing Address
First Line	:	2690 S EAGLE RD STE 150
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-6704
Country	:	US
Telephone Number	:	208-401-1000
Fax Number	:	208-401-1010

Provider Business Practice Location Address
First Line	:	2690 S EAGLE RD STE 150
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-6704
Country	:	US
Telephone Number	:	208-401-1000
Fax Number	:	208-401-1010

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES H BATES
Credential	:	M.D.
Telephone Number	:	208-401-1000

Provider Enumeration Date	:	07/10/2007
Last Update Date	:	04/03/2014

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