FAMILY CARE CLINIC HIGH
NPI 1609963636
Clinic/Center - Rural Health in Butler, MO

Active since October 10, 2006CLIA 26D1099519 · Waiver
615 W NURSERY ST, BUTLER, MO 64730(660) 200-7000(660) 200-7015 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Family Care Clinic High NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY CARE CLINIC HIGH (NPI 1609963636) is a healthcare organization registered as a rural health in Butler, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Gregory Weaver, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609963636
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBATES COUNTY MEMORIAL HOSPITAL
Location Address615 W NURSERY STButler, MO 64730-1840
Mailing Address706 S High StButler, MO 64730-1833 · (660) 200-2004 · Fax (660) 200-7015
Fax(660) 200-7015
Organization SubpartYes
Authorized OfficialGregory WeaverCeo · (660) 200-7001
Enumeration DateOctober 10, 2006
Last NPPES UpdateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1609963636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in MO · 268606
615 W NURSERY ST, Butler, MO 64730

Other Names 1

Doing Business AsFamily Care Clinic High

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Care Clinic High is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMissouriEnrollment IDO20100108000705Part A · Rural Health ClinicDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

85

Medicare enrollment records show 85 clinicians reassign Medicare billing to Family Care Clinic High, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Diagnostic Radiology35
Nurse Practitioner11
Family Practice7
Certified Registered Nurse Anesthetist (CRNA)6
Gastroenterology4
Internal Medicine3
Orthopedic Surgery3
Qualified Audiologist2
13 other specialties14

Nearest to this location (20)

See all 85
Cardiovascular Disease (Cardiology)
NPI 1366441545
615 W NURSERY ST
Butler, MO 64730
(660) 200-7000
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1124071113
615 W NURSERY ST
Butler, MO 64730
(660) 200-7000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1407895170
615 W NURSERY ST
Butler, MO 64730
(660) 200-7134
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1790352334
615 W NURSERY ST
Butler, MO 64730
(660) 200-7000
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1568443935
617 W NURSERY ST
Butler, MO 64730
(660) 200-7133
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1871579706
617 W NURSERY ST
Butler, MO 64730
(660) 200-7133
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124595699
706 S HIGH ST
Butler, MO 64730
(660) 200-7135
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1366624215
615 W NURSERY ST
Butler, MO 64730
(660) 200-7000
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1508541848
615 W NURSERY ST
Butler, MO 64730
(660) 200-7000
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1316941826
57 EAST MAIN
Adrian, MO 64720
(816) 297-8700
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1871174169
408 E 7TH ST
Appleton City, MO 64724
(660) 476-2121
✔ PECOS✔ Accepts Medicare17 mi
Orthopedic Surgery
NPI 1639172760
2820 E ROCK HAVEN RD
Harrisonville, MO 64701
(816) 380-7662
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1164875191
1602 N 2ND ST
Clinton, MO 64735
(660) 885-8171
✔ PECOS✔ Accepts Medicare32 mi
Family Practice
NPI 1861405342
807 W 2ND ST
Holden, MO 64040
(816) 735-7979
✔ PECOS✔ Accepts Medicare37 mi
Qualified Audiologist
NPI 1790719276
8424 CLINT DR
Belton, MO 64012
(816) 322-8883
40 mi
Diagnostic Radiology
NPI 1528118106
16520 BLUEJACKET ST
Overland Park, KS 66221
(913) 219-1042
✔ PECOS✔ Accepts Medicare45 mi
Clinical Social Worker
NPI 1790311983
529 SE 2ND ST STE D
Lees Summit, MO 64063
(816) 581-3737
✔ PECOS✔ Accepts Medicare46 mi
Pain Management
NPI 1063414225
8101 W 135TH ST SUITE 200
Overland Park, KS 66223
(913) 491-3999
✔ PECOS✔ Accepts Medicare47 mi
Gastroenterology
NPI 1881677938
20 NE SAINT LUKES BLVD SUITE 330
Lees Summit, MO 64086
(816) 554-3838
✔ PECOS✔ Accepts Medicare48 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1902906498
250 NE MULBERRY ST SJS MEDICAL MANAGEMENT, SUITE 202
Lees Summit, MO 64086
(816) 389-4130
✔ PECOS✔ Accepts Medicare48 mi
See all 85 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1099519

Family Care Clinic-Nursery · Butler, MO
Active · expires May 14, 2027
CLIA Number26D1099519
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorJames L. Miller
Laboratory Phone(660) 200-2004
Laboratory LocationFamily Care Clinic-Nursery617 W Nursery, Butler, MO 64730
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bates County Memorial Hospital's NPI number?

The NPI number for Bates County Memorial Hospital is 1609963636. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Family Care Clinic High.

Where is Bates County Memorial Hospital located?

Bates County Memorial Hospital is located at 615 W Nursery St, Butler, MO 64730. The listed phone number is (660) 200-7000.

What is Bates County Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Bates County Memorial Hospital enrolled in Medicare?

Yes. Bates County Memorial Hospital is registered in the Medicare PECOS enrollment system.

When is Bates County Memorial Hospital's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Missouri, Rural Health Clinic) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bates County Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 21 Medicare specialties reassign their Medicare billing to Bates County Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (35), Nurse Practitioner (11) and Family Practice (7). Of these, 7 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bates County Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1099519) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bates County Memorial Hospital was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.