| Extended Health Systems Medical Clinic | |
|
1502 Ward Ave Caruthersville MO 63830-2571 | |
| (573) 333-4244 | |
| (573) 333-4551 |
| Full Name | Extended Health Systems Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1502 Ward Ave, Caruthersville, Missouri |
| Authorized Official Name and Position | Glenn Haynes (CEO) |
| Authorized Official Contact | 5733592930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Health Systems Medical Clinic Po Box 37 Hayti MO 63851-0037 Ph: (573) 359-2930 | Extended Health Systems Medical Clinic 1502 Ward Ave Caruthersville MO 63830-2571 Ph: (573) 333-4244 |
| NPI Number | 1851373906 |
|---|---|
| Provider Enumeration Date | 11/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851373906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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