BATES COUNTY MEMORIAL HOSPITAL (NPI# 1598703381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598703381 |
| Entity Type | Organization |
| Organization Name | BATES COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | BATES COUNTY MEMORIAL HOSPITAL SWING BED |
| Practice Address |
615 W Nursery St Butler MO 64730-1840 |
| Practice Telephone | 6602007000 |
| Practice Fax Number | 6602007015 |
| Mailing Telephone | 6602007000 |
| Mailing Fax Number | 6602007015 |
| Enumeration Date | 2006-06-03 |
| 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 | 275N00000X | Medicare Defined Swing Bed Unit | 205 45 | MO | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS | 90012015 | 01 |
| Other Name | Type Code |
|---|---|
| Bates County Memorial Hospital Swing Bed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477009959 | Bates County Memorial Hospital | Family Medicine | 225 N 14th St, Rich Hill, MO 64779-1372 | 2016-08-25 |
| 1902851843 | Bates County Memorial Hospital | Family Medicine | 706 S High St, Butler, MO 64730-1833 | 2006-05-22 |
| 1487007456 | Bates County Memorial Hospital | Internal Medicine | 615 W Nursery St, Butler, MO 64730-1840 | 2016-07-14 |
| 1467689398 | Bates County Memorial Hospital | Family Medicine | 200 W Chestnut St, Butler, MO 64730-1554 | 2009-06-18 |
| 1669606588 | Bates County Memorial Hospital | Family Medicine | 617 W Nursery St, Butler, MO 64730-1840 | 2009-05-06 |
| 1578797494 | Bates County Memorial Hospital | Family Medicine | 102 E. Main, Adrian, MO 64720 | 2009-05-06 |
| 1407046618 | Bates County Memorial Hospital | Clinic/Center | 102 E. Main, Adrian, MO 64720 | 2007-07-25 |
| 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 |
| 1053359844 | Bates County Memorial Hospital | Home Health | 615 W Nursery St, Butler, MO 64730-1840 | 2006-06-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BATES COUNTY MEMORIAL HOSPITAL INC | 615 W Nursery St, Butler, MO 64730-1840 |
| 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 |
| 1356448740 | Bates County Memorial Hospital Ambulance | Ambulance | 615 W Nursery St, Butler, MO 64730-1840 | 2006-09-20 |
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| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811268410 | Rush Hospital/butler, Inc. | Medicare Defined Swing Bed Unit | 401 Vanity Fair Lane, Butler, AL 36904 | 2012-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013054212 | Ste Genevieve County Memorial Hospital | Medicare Defined Swing Bed Unit | 800 Sainte Genevieve Dr, Ste Genevieve, MO 63670-1434 | 2007-01-30 |
| 1104801547 | Barton County Memorial Hospital | Medicare Defined Swing Bed Unit | 29 Nw 1st Ln, Lamar, MO 64759-8105 | 2005-12-08 |
| 1245220052 | Ray County Memorial Hospital | Medicare Defined Swing Bed Unit | 904 Wollard Blvd, Richmond, MO 64085-2229 | 2005-10-24 |
| 1083601330 | Western Missouri Medical Center | Medicare Defined Swing Bed Unit | 403 Burkarth Rd, Warrensburg, MO 64093 | 2005-10-03 |
| 1407469778 | Noble Health Fulton Inc. | Medicare Defined Swing Bed Unit | 10 S Hospital Dr, Fulton, MO 65251-2510 | 2020-08-26 |
| 1558985911 | Poplar Bluff Regional Medical Center LLC | Medicare Defined Swing Bed Unit | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 | 2020-06-02 |
| 1568936995 | Mosaic Medical Center - Maryville | Medicare Defined Swing Bed Unit | 2016 S Main St, Maryville, MO 64468-2655 | 2019-01-18 |
| 1861861726 | Southeast Health Center of Reynolds LLC | Medicare Defined Swing Bed Unit | 100 Highway 21 N, Ellington, MO 63638-9409 | 2015-09-22 |
| 1023487162 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-09-18 |
| 1093194888 | Southeast Health Center of Ripley County | Medicare Defined Swing Bed Unit | 109 Plum St, Doniphan, MO 63935-1277 | 2015-05-26 |
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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.