Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 223 S 3rd St, Hayti, Missouri |
Authorized Official Name and Position | Glenn D Haynes (CEO) |
Authorized Official Contact | 5733592930 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 37 Hayti MO 63851-0037 Ph: (573) 359-2930 | 223 S 3rd St Hayti MO 63851-1617 Ph: (573) 359-2019 |
NPI Number | 1982723375 |
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Provider Enumeration Date | 03/28/2007 |
Last Update Date | 10/12/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982723375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Mcpherson Medical & Diagnostic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 223 S 3rd St, Hayti, MO 63851 Phone: 573-717-1072 | |
Hayti Medical Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 223 S 3rd St, Hayti, MO 63851 Phone: 573-359-2930 Fax: 573-359-1304 | |