| Pemiscot Interventional Pain Center | |
|
910 E Moore Hayti MO 63851 | |
| (573) 359-3230 | |
| Not Available |
| Full Name | Pemiscot Interventional Pain Center |
|---|---|
| Speciality | Clinic/center |
| Location | 910 E Moore, Hayti, Missouri |
| Authorized Official Name and Position | Lauren Turnage (REVENUE CYCLE DIRECTOR) |
| Authorized Official Contact | 5733593498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemiscot Interventional Pain Center P.o. Box 489 Hayti MO 63851 Ph: (573) 359-1372 | Pemiscot Interventional Pain Center 910 E Moore Hayti MO 63851 Ph: (573) 359-3230 |
| NPI Number | 1386807675 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 08/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386807675 | NPI | - | NPPES |
| 504778408 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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