Provider Demographics
NPI:1477009959
Name:BATES COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:BATES COUNTY MEMORIAL HOSPITAL
Other - Org Name:FAMILY CARE CLINIC RICH HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-200-7000
Mailing Address - Street 1:225 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:RICH HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64779-1372
Mailing Address - Country:US
Mailing Address - Phone:417-395-2144
Mailing Address - Fax:
Practice Address - Street 1:225 N 14TH ST
Practice Address - Street 2:
Practice Address - City:RICH HILL
Practice Address - State:MO
Practice Address - Zip Code:64779-1372
Practice Address - Country:US
Practice Address - Phone:660-200-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BATES COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty