Organization Active NPI

Butler Urgent Medicine

  • Urgent Care Clinic/Center
  • Butler, MO
National Provider Identifier
1114515392
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BUTLER URGENT MEDICINE
Practice address
9 N Main St
Butler, MO 64730-2135
Phone
(660) 386-7008
Fax
(660) 386-7009
NPI assigned
Jan 4, 2021
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gayle Stark
Title
Credentialing Officer
Phone
(660) 424-0794

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

9 N Main St
Butler, MO 64730-2135

Mailing address

9 N Main St
Butler, MO 64730-2135
Phone (660) 386-7008

National Provider Directory

National Provider Directory
Tax ID family
Medicine by Dr Henderson LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9 N Main St
Butler, MO 64730
Phone (660) 386-7008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1114515392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647302135",
            "telephone_number": "660-386-7008",
            "fax_number": "660-386-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N MAIN ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647302135",
            "telephone_number": "660-386-7008",
            "fax_number": "660-386-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER URGENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "STARK",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "CREDENTIALING OFFICER",
        "authorized_official_telephone_number": "660-424-0794"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.