MCPHERSON MEDICAL & DIAGNOSTIC, LLC (NPI# 1619518032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619518032 |
Entity Type | Organization |
Organization Name | MCPHERSON MEDICAL & DIAGNOSTIC, LLC |
Practice Address |
110 Us Hwy 61 N Ste B Hayti MO 63851 |
Mailing Address |
Po Box 12545 Belfast ME 04915-4016 |
Practice Telephone | 5737171072 |
Mailing Telephone | 5737171072 |
Enumeration Date | 2019-10-07 |
Last Update Date | 2019-10-07 |
Authorized Official Name | TIMOTHY WILLIAM MCPHERSON (CEO) |
Authorized Official Telephone | 5736952181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Bootheel Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073154019 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-10-01 |
1497189864 | Mcpherson Medical & Diagnostic, LLC | Family Medicine | 100 N Main St, Gideon, MO 63848-9253 | 2013-08-21 |
Street Address |
110 US HWY 61 N STE B |
City | HAYTI |
State | MO |
Zip Code | 63851 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1972902393 | Lesa Avis | Case Manager/Care Coordinator | 581 Highway J North, Hayti, MO 63851 | 2014-08-21 |
Find all providers in zip 63851 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073154019 | Mcpherson Medical & Diagnostic, LLC | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2019-10-01 |
1144570995 | Hayti Medical Clinic | Clinic/Center | 102 Main Ave, Hayti, SD 57241-0238 | 2012-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982219945 | Behavior Dad, LLC | Clinic/Center | 3509 W Moark, Battlefield, MO 65619-9616 | 2020-09-15 |
1801406178 | Primary Care of Cedar Hill Harmony | Clinic/Center | 6420 The Cedars Ct Ste 1, Cedar Hill, MO 63016-2222 | 2020-08-03 |
1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
1780204586 | Keep Well Now | Clinic/Center | 2405 Aspen Rd, Highlandville, MO 65669-8051 | 2020-04-21 |
1871112102 | Thrive St. Louis, Inc | Clinic/Center | 4331 Lindell Blvd, Saint Louis, MO 63108-2701 | 2020-04-16 |
1548893530 | Gateway Direct Primary Care Jv LLC | Clinic/Center | 1015 Corporate Square Dr Ste 101, Saint Louis, MO 63132-2938 | 2020-02-18 |
1033741202 | Olalani Holdings LLC | Clinic/Center | 950 Francis Pl Ste 217, Clayton, MO 63105-2465 | 2020-02-06 |
1124659180 | Eldon Family Chiropractic, LLC | Clinic/Center | 102 N Business Highway 54 E Ste D, Eldon, MO 65026-2041 | 2020-01-29 |
1124679774 | Mcpherson Medical and Diagnostic, LLC | Clinic/Center | 304 Teaco Rd Ste A, Kennett, MO 63857-3268 | 2019-09-25 |
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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.