| Pemiscot County Memorial Hospital | |
|
946 E Reed St Hayti MO 63851-1243 | |
| (573) 359-1372 | |
| (573) 359-3601 |
| Full Name | Pemiscot County Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 946 E Reed St, Hayti, Missouri |
| Authorized Official Name and Position | Joan White-wagoner (CEO) |
| Authorized Official Contact | 5733593612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemiscot County Memorial Hospital Po Box 489 946 East Reed Hayti MO 63851-0489 Ph: (573) 359-1372 | Pemiscot County Memorial Hospital 946 E Reed St Hayti MO 63851-1243 Ph: (573) 359-1372 |
| NPI Number | 1710159314 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 09/27/2023 |
| Certification Date | 09/27/2023 |
| Medicare PECOS PAC ID | 8426024159 |
|---|---|
| Medicare Enrollment ID | O20080226000498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710159314 | NPI | - | NPPES |
| 26S070 | Other | MEDICARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Bootheel Outpatient Clinic Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 215 S 3rd St, Hayti, MO 63851 Phone: 573-922-7383 | |
Pemiscot County Memorial Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 946 E Reed St, Hayti, MO 63851 Phone: 573-359-1372 Fax: 573-359-3601 |