Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 946 E Reed St, Hayti, Missouri |
Authorized Official Name and Position | Lauren Turnage (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 5733593498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
946 E Reed St P O Box 489 Hayti MO 63851-1243 Ph: (573) 359-6162 | 946 E Reed St Hayti MO 63851-1243 Ph: (573) 359-6162 |
NPI Number | 1568574341 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 08/07/2024 |
Medicare PECOS PAC ID | 8426024159 |
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Medicare Enrollment ID | O20040903001019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568574341 | NPI | - | NPPES |
599256005 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (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 | |