Mcpherson Medical & Diagnostic, Llc | |
223 S 3rd St Hayti MO 63851-1617 | |
(573) 717-1072 | |
Not Available |
Full Name | Mcpherson Medical & Diagnostic, Llc |
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Speciality | Clinic/Center |
Location | 223 S 3rd St, Hayti, Missouri |
Authorized Official Name and Position | Timothy William Mcpherson (CEO) |
Authorized Official Contact | 5736952181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mcpherson Medical & Diagnostic, Llc Po Box 12545 Belfast ME 04915-4016 Ph: (573) 717-1072 | Mcpherson Medical & Diagnostic, Llc 223 S 3rd St Hayti MO 63851-1617 Ph: (573) 717-1072 |
NPI Number | 1073154019 |
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Provider Enumeration Date | 10/01/2019 |
Last Update Date | 10/01/2019 |
Medicare PECOS PAC ID | 5698773539 |
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Medicare Enrollment ID | O20200723000803 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073154019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Abdullah Arshad |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1477660637 PECOS PAC ID: 6204928328 Enrollment ID: I20191112001452 |
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