NPIMap

Organization Active NPI

Bates County Memorial Hospital

  • General Acute Care Hospital
  • Butler, MO
National Provider Identifier
1770536740
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
205 45 Issued in MO
Legal business name
BATES COUNTY MEMORIAL HOSPITAL
Practice address
615 W Nursery St
Butler, MO 64730-1840
Phone
(660) 200-7000
Fax
(660) 200-7004
NPI assigned
May 18, 2006
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Gregory Weaver
Title
Ceo
Phone
(660) 200-7000

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 268646 MO
Clinic/Center 261Q00000X 268606 MO
Clinic/Center 261Q00000X 268639 MO
Rural Health Clinic/Center 261QR1300X 268606 MO
Rural Health Clinic/Center 261QR1300X 268646 MO
Rural Health Clinic/Center 261QR1300X 268639 MO
General Acute Care Hospital 282N00000X 205 45 MO Primary

Addresses

Primary practice location

615 W Nursery St
Butler, MO 64730-1840

Mailing address

PO Box 19793
Belfast, ME 04915-4092
Phone (660) 200-7000

Other identifiers 8

IdentifierTypeStateIssuer
800673618MedicaidMO
010673606MedicaidMO
90012015OtherMOKC BC/BS
540673605MedicaidMO
588185306MedicaidMO
8030343401MedicaidKS
00125012OtherMOKC BC/BS
0927601OtherMOKC BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030327000012 MO Part A Provider - Hospital 8123937356 1 other NPI on this enrollment
Practice locations: Butler, MO
O20040121000624 MO Part B Supplier - Clinic/Group Practice 8123937356 Receives reassigned benefits from 90 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Adrian, MO; Butler, MO; Rich Hill, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770536740. Details of each certification follow.

Hospital certification: CCN 260034

Legal name
BATES COUNTY MEMORIAL HOSPITAL
Doing business as
BATES COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jun 27, 2024
Beds
60
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
615 W Nursery St
Butler, MO 64730-1840
Other Hospital Practice Location
Hospital subgroups
General, Long-term, Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Bates County Memorial HospitalCCN 260034 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

619 W Nursery St
Butler, MO 64730
Phone (660) 679-6767

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregory a Weaver Individual Corporate DirectorCeo Sep 1, 2020
W-2 Managing Employee Sep 1, 2020
Operational/Managerial Control Sep 1, 2020
Linda Jennings Individual Corporate OfficerVice Chairman Apr 1, 2020
Jerry Jones Individual Corporate OfficerMember Apr 1, 2020
James Shade Individual Corporate OfficerChairman Apr 1, 2020
Bates County Memorial Hospital Organization, Butler, MO Operational/Managerial Control Mar 3, 2003
Richard R King Individual Corporate OfficerTreasurer Apr 1, 2020

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bates County Memorial HospitalButler, MO, CCN 26U034 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2008
Family Care Clinic AdrianAdrian, MO, CCN 268667 Rural health clinic 5% Or Greater Direct Ownership Interest May 14, 1991
Family Care Clinic HighButler, MO, CCN 268646 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1990
Family Care Clinic Rich HillRich Hill, MO, CCN 268749 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2016

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 55

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.

View all 55

Affiliated clinicians 81

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1770536740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19793",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154092",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATES COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-200-7000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "268646",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "268606",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "268639",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268606",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268646",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "MO",
            "license": "268639",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MO",
            "license": "205 45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800673618",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010673606",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KC BC/BS",
            "identifier": "90012015",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540673605",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "588185306",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8030343401",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KC BC/BS",
            "identifier": "00125012",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KC BC/BS",
            "identifier": "0927601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.