Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 223 S 3rd St, Hayti, Missouri |
Authorized Official Name and Position | Timothy William Mcpherson (OWNER) |
Authorized Official Contact | 5736952181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
901 W Commercial St Kennett MO 63857-1100 Ph: (573) 717-1072 | 223 S 3rd St Hayti MO 63851-1617 Ph: (573) 479-3075 |
NPI Number | 1336885433 |
---|---|
Provider Enumeration Date | 05/11/2022 |
Last Update Date | 12/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336885433 | NPI | - | NPPES |
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 | |