Provider Demographics
NPI:1487994422
Name:BATES PLACE INC
Entity type:Organization
Organization Name:BATES PLACE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOU ANN
Authorized Official - Last Name:BATES
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:361-552-0195
Mailing Address - Street 1:623 N VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:PORT LAVACA
Mailing Address - State:TX
Mailing Address - Zip Code:77979-3021
Mailing Address - Country:US
Mailing Address - Phone:361-552-0195
Mailing Address - Fax:361-552-0195
Practice Address - Street 1:623 N VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:PORT LAVACA
Practice Address - State:TX
Practice Address - Zip Code:77979-3021
Practice Address - Country:US
Practice Address - Phone:361-552-0195
Practice Address - Fax:361-552-0195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation