| Hayti Medical Clinic | |
|
102 Main Ave Hayti SD 57241-0238 | |
| (605) 783-3030 | |
| (605) 783-1320 |
| Full Name | Hayti Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 102 Main Ave, Hayti, South Dakota |
| Authorized Official Name and Position | Mitchell P. Jenner (NURSE PRACTITIONER) |
| Authorized Official Contact | 6057833030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayti Medical Clinic 102 Main Ave Hayti SD 57241-0238 Ph: (605) 783-3030 | Hayti Medical Clinic 102 Main Ave Hayti SD 57241-0238 Ph: (605) 783-3030 |
| NPI Number | 1144570995 |
|---|---|
| Provider Enumeration Date | 09/19/2012 |
| Last Update Date | 09/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144570995 | NPI | - | NPPES |
| 6820663 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CP000033 (South Dakota) | Primary |
Garcia Family Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 Main Street, Po Box 301, Hayti, SD 57241 Phone: 605-783-2999 |