BATES COUNTY MEMORIAL HOSPITAL AMBULANCE (NPI# 1356448740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356448740 |
| Entity Type | Organization |
| Organization Name | BATES COUNTY MEMORIAL HOSPITAL AMBULANCE |
| Practice Address |
615 W Nursery St Butler MO 64730-1840 |
| Mailing Address |
Po Box 19793 Belfast ME 04915-4092 |
| Practice Telephone | 6602007000 |
| Practice Fax Number | 6602007015 |
| Mailing Telephone | 6602007000 |
| Mailing Fax Number | 6602007015 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | JOHN PHILLIP BUSTLE (CEO) |
| Authorized Official Telephone | 6602007000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
013005 | MO | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 800673618 | 05 | |
| MO | STATE OF MISSOURI | 013005 | 01 |
| Street Address |
615 W NURSERY ST |
| City | BUTLER |
| State | MO |
| Zip Code | 64730-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441545 | Jeffrey W Bissing | Internal Medicine | 615 W Nursery St, Butler, MO 64730-1840 | 2005-07-19 |
| 1578104493 | William Mark Jones | Pharmacist | 615 W Nursery St, Butler, MO 64730-1840 | 2019-10-02 |
| 1649768425 | Kerri M Cannon | Dietitian, Registered | 615 W Nursery St, Butler, MO 64730-1840 | 2018-04-26 |
| 1487007456 | Bates County Memorial Hospital | Internal Medicine | 615 W Nursery St, Butler, MO 64730-1840 | 2016-07-14 |
| 1780059378 | Bates County Memorial Hospital Pharmacy | Pharmacy | 615 W Nursery St, Butler, MO 64730-1840 | 2015-12-08 |
| 1770910150 | Dolores Herrman | Occupational Therapist | 615 W Nursery St, Butler, MO 64730-1840 | 2013-10-01 |
| 1659604254 | Electric City Emergency Physicians, LLC | Emergency Medicine | 615 W Nursery St, Butler, MO 64730-1840 | 2009-09-14 |
| 1740311471 | Bates County Memorial Hospital | Surgery | 615 W Nursery St, Butler, MO 64730-1840 | 2007-03-07 |
| 1609963636 | Bates County Memorial Hospital | Clinic/Center | 615 W Nursery St, Butler, MO 64730-1840 | 2006-10-10 |
| 1407895170 | William Joyce Jr. | Surgery | 615 W Nursery St, Butler, MO 64730-1840 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003128596 | Marilyn Gay Gaddy | Registered Nurse | 205 E Dakota, Butler, MO 64730 | 2010-07-13 |
| 1598962581 | John Phillip Bustle | Family Medicine | 615 W Nursery, Butler, MO 64730 | 2007-07-02 |
| 1003914482 | Corry Robert Lanyon | Dentist | 1018 West Fort Scott, Butler, MO 64730 | 2006-09-20 |
| 1053426221 | Ronald Leslie Bashor | Dentist | 619 W Nursery, Bates County Dental Center, Butler, MO 64730 | 2006-08-20 |
| 1194778225 | John Leslie Noe | Optometrist | 204 West Chestnut, Butler, MO 64730 | 2006-05-18 |
| 1295711109 | Michael J Gardner | Psychologist | 805 N Orange St, Butler, MO 64730 | 2005-12-22 |
| 1184189557 | Skyler M Davenport | Specialist/Technologist | 420 S Fulton St, Butler, MO 64730 | 2019-02-09 |
| 1962982413 | Meagan Guerreiro | Counselor | 805 N Orange St, Butler, MO 64730 | 2018-08-15 |
| 1851830384 | Breezy Operations LLC | Skilled Nursing Facility | 416 S High St, Butler, MO 64730 | 2017-02-16 |
| 1487986048 | Jessica Anne Allison | Counselor | 805 N Orange St, Butler, MO 64730 | 2010-02-08 |
| Find all providers in zip 64730 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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|---|---|---|---|---|
| 1750423687 | Village of Butler | Ambulance | 12621 W Hampton Ave, Butler, WI 53007-1705 | 2007-02-14 |
| 1316012032 | Choctaw County Emergency Medical Services Inc. | Ambulance | 816 W Pushmataha St, Butler, AL 36904-2440 | 2006-11-21 |
| 1114926771 | Northern Pendleton Fire District | Ambulance | 5900 Ky Hwy 154, Butler, KY 41006-9005 | 2005-07-18 |
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|---|---|---|---|---|
| 1285275123 | Odessa Fire & Rescue Protection District | Ambulance | 301 W Dryden St, Odessa, MO 64076-1218 | 2019-10-02 |
| 1407404098 | County of Jackson Raytown Fire Protection District | Ambulance | 6020 Raytown Trfy, Raytown, MO 64133-3856 | 2019-08-28 |
| 1801268537 | New Image Nemt Ambulance Services | Ambulance | 4960 E Linwood Blvd, Kansas City, MO 64128-1801 | 2015-10-21 |
| 1013250620 | Pettis County Ambulance District | Ambulance | 210 W 4th St, Sedalia, MO 65301 | 2013-04-02 |
| 1407192404 | Inter City Fire Protection District | Ambulance | 1702 Blue Ridge Blvd, Blue Summit, MO 64126-3016 | 2012-12-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| 1508115775 | Butler County Ems LLC | Ambulance | 4005 South Westwood Blvd, Poplar Bluff, MO 63901 | 2012-09-04 |
| 1639439961 | St. James Ambulance District | Ambulance | 203 S Louise Ave, Saint James, MO 65559-1744 | 2012-05-21 |
| 1265702971 | Central Cass County Fire & Ambulance Protection District | Ambulance | 2507 Se Outer Rd, Harrisonville, MO 64701-6366 | 2012-01-11 |
| 1376845008 | Regional Emergency Medical Services Authority | Ambulance | 5010 Frederick Ave, Saint Joseph, MO 64506-3248 | 2010-12-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.