HAYTI MEDICAL CLINIC, INC (NPI# 1154303204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154303204 |
| Entity Type | Organization |
| Organization Name | HAYTI MEDICAL CLINIC, INC |
| Practice Address |
223 S 3rd St Hayti MO 63851-1617 |
| Mailing Address |
223 S 3rd St Po Box 37 Hayti MO 63851-1617 |
| Practice Telephone | 5733592930 |
| Practice Fax Number | 5733591304 |
| Mailing Telephone | 5733592930 |
| Mailing Fax Number | 5733591304 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GLENN HAYNES (CEO) |
| Authorized Official Telephone | 5733592930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851373906 | Hayti Medical Clinic, Inc | Clinic/Center | 1502 Ward Ave, Caruthersville, MO 63830-2571 | 2005-11-15 |
| 1982723375 | Hayti Medical Clinic, Inc | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2007-03-28 |
| Street Address |
223 S 3RD ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720629561 | Tabitha Chu | Nurse Practitioner | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-10-02 |
| 1073154019 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-10-01 |
| 1518426741 | Southeast Missouri Health Network | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-03-18 |
| 1427179712 | Janna Raney | Nurse Practitioner | 223 S 3rd St, Hayti, MO 63851-1617 | 2007-04-03 |
| 1982723375 | Hayti Medical Clinic, Inc | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2007-03-28 |
| 1194849224 | Muhammad Naseeruddin | Internal Medicine | 223 S 3rd St, Hayti, MO 63851-1617 | 2007-03-16 |
| 1194814921 | Karyn Dean | Nurse Practitioner | 223 S 3rd St, Hayti, MO 63851-1617 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619518032 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 110 Us Hwy 61 N, Ste B, Hayti, MO 63851 | 2019-10-07 |
| 1225525744 | Roosevelt Dismukes Jr. | Behavior Technician | 500 Highway 61 N J, Hayti, MO 63851 | 2018-04-19 |
| 1417461625 | Rivian Ricole Hill | Recreation Therapist | 501 Highway 61 J N, Hayti, MO 63851 | 2017-11-27 |
| 1750761169 | Lindsey Moody | Case Manager/Care Coordinator | 909 East Reed Street, Hayti, MO 63851 | 2015-06-02 |
| 1710375811 | Jeremy Winstead | Technician, Other | 500 Highway J North, Hayti, MO 63851 | 2014-12-26 |
| 1164810206 | Teresa Ward | Registered Nurse | 589 Hwy J, Hayti, MO 63851 | 2014-12-23 |
| 1780081463 | Heather Brown | Case Manager/Care Coordinator | 581 Hwy J, Hayti, MO 63851 | 2014-11-25 |
| 1184029241 | Cheryl Byrd | Case Manager/Care Coordinator | 581 Highway J, Hayti, MO 63851 | 2014-10-30 |
| 1114320827 | Toshia Russell | Licensed Practical Nurse | 579 North Highway J, Hayti, MO 63851 | 2014-10-08 |
| 1992104301 | Lora Hawes | Case Manager/Care Coordinator | 581 Hwy J North, Hayti, MO 63851 | 2014-08-21 |
| Find all providers in zip 63851 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285952044 | Dyersburg Clinic Corp | Clinic/Center | 310 E Main St, Hayti, MO 63851-1639 | 2010-05-04 |
| 1497929335 | Caruthersville Clinic | Clinic/Center | 310 E Main St, Hayti, MO 63851-1639 | 2008-04-22 |
| 1518065291 | Pemiscot County Memorial Hospital | Clinic/Center | 907 E Reed St, Hayti, MO 63851-1242 | 2006-09-20 |
| 1568574341 | Pemiscot County Memorial Hospital | Clinic/Center | 946 E Reed St, Hayti, MO 63851-1243 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102137 | Washington County Memorial Hospital | Clinic/Center | 14206 Hwy C, Belgrade, MO 63622 | 2020-07-23 |
| 1891325072 | Scotland County Memorial Hospital | Clinic/Center | 55682 State Highway 6 Ste A, Edina, MO 63537-4268 | 2020-01-16 |
| 1639736457 | Southeast Health Center of Stoddard County LLC | Clinic/Center | 800 Us Highway 61, New Madrid, MO 63869-1106 | 2019-05-28 |
| 1134633456 | Pike County Memorial Hospital | Clinic/Center | 1420 S Business 61 Unit Fde, Bowling Green, MO 63334-5230 | 2017-11-22 |
| 1720505894 | Perry County Health System | Clinic/Center | 210 Hospital Ln Ste 202, Perryville, MO 63775-4200 | 2017-08-29 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1790213676 | Jackson Primary Care LLC | Clinic/Center | 2685 E Main St Ste A, Jackson, MO 63755-2474 | 2017-05-23 |
| 1972050581 | Sgoh Acquisition, Inc. | Clinic/Center | 912b State Highway 59, Goodman, MO 64843-8252 | 2016-09-01 |
| 1144605312 | Nevada City Hospital | Clinic/Center | 627 S Ash St Ste B, Nevada, MO 64772 | 2015-07-29 |
| 1669856829 | Ssm Regional Health Services | Clinic/Center | 2511 W Edgewood Dr Ste F, Jefferson City, MO 65109-5869 | 2015-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.