BATES COUNTY MEMORIAL HOSPITAL (NPI# 1669606588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669606588 |
| Entity Type | Organization |
| Organization Name | BATES COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | FAMILY CARE CLINIC NURSERY |
| Practice Address |
617 W Nursery St Butler MO 64730-1840 |
| Practice Telephone | 6602007133 |
| Mailing Telephone | 6602007133 |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | JOHN PHILLIP BUSTLE (CEO) |
| Authorized Official Telephone | 6602007000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BATES COUNTY MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 109083 | MO | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
268606 | MO | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 596849307 | 05 |
| Other Name | Type Code |
|---|---|
| Family Care Clinic Nursery | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 W Nursery St, Butler, MO 647301840 | 6602007108 |
| 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 |
| 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 |
| 1598703381 | Bates County Memorial Hospital | Medicare Defined Swing Bed Unit | 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 |
617 W NURSERY ST |
| City | BUTLER |
| State | MO |
| Zip Code | 64730-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568443935 | James L Miller | Family Medicine | 617 W Nursery St, Butler, MO 64730-1840 | 2005-11-10 |
| 1740721562 | Megan Reno | Physician Assistant | 617 W Nursery St, Butler, MO 64730-1840 | 2017-03-13 |
| 1578966420 | Misty A Tourtillott | Nurse Practitioner | 617 W Nursery St, Butler, MO 64730-1840 | 2014-10-07 |
| 1891117024 | Lynnsey Stirling Shade | Nurse Practitioner | 617 W Nursery St, Butler, MO 64730-1840 | 2014-01-07 |
| 1871579706 | James L Patterson | Emergency Medicine | 617 W Nursery St, Butler, MO 64730-1840 | 2005-12-22 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830135 | Rush Hospital/butler, Inc. | Clinic/Center | 1 Independence Sq Ste 1c, Butler, AL 36904-2638 | 2013-06-10 |
| 1548220155 | Rush Care, Inc. | Clinic/Center | 1 Independence Sq, Suite 1c, Butler, AL 36904-2512 | 2006-03-27 |
| 1598104671 | Anderson Regional Medical Center | Clinic/Center | 1404 E Pushmataha St, Butler, AL 36904-2728 | 2013-06-21 |
| 1013355106 | Rush Hospital/butler, Inc. | Clinic/Center | 1404 E Pushmataha St, Butler, AL 36904-2728 | 2013-06-11 |
| 1609963636 | Bates County Memorial Hospital | Clinic/Center | 615 W Nursery St, Butler, MO 64730-1840 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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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.