| Hayti Medical & Diagnostic | |
|
223 S 3rd St Hayti MO 63851-1617 | |
| (573) 479-3075 | |
| (573) 479-3085 |
| Full Name | Hayti Medical & Diagnostic |
|---|---|
| Speciality | Clinic/Center |
| Location | 223 S 3rd St, Hayti, Missouri |
| Authorized Official Name and Position | Timothy William Mcpherson (OWNER) |
| Authorized Official Contact | 5736952181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayti Medical & Diagnostic 901 W Commercial St Kennett MO 63857-1100 Ph: (573) 717-1072 | Hayti Medical & Diagnostic 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 |
| Certification Date | 12/13/2024 |
| Medicare PECOS PAC ID | 5698773539 |
|---|---|
| Medicare Enrollment ID | O20220609002314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336885433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Hayti Medical & Diagnostic 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 |
Caruthersville Clinic - Hayti Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Main St, Hayti, MO 63851 Phone: 573-359-2517 Fax: 573-359-6281 |
Pemiscot Interventional Pain Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 E Moore, Hayti, MO 63851 Phone: 573-359-3230 |
Hayti Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 E Main St, Hayti, MO 63851 Phone: 573-359-2518 |
Pemiscot Primary Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 907 E Reed St, Hayti, MO 63851 Phone: 573-359-3660 Fax: 573-359-3521 |