HAYTI MEDICAL CLINIC, INC (NPI# 1982723375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982723375 |
| Entity Type | Organization |
| Organization Name | HAYTI MEDICAL CLINIC, INC |
| Other Organization Name | EHS MEDICAL CLINIC |
| Practice Address |
223 S 3rd St Hayti MO 63851-1617 |
| Mailing Address |
Po Box 37 Hayti MO 63851-0037 |
| Practice Telephone | 5733592019 |
| Practice Fax Number | 5733592083 |
| Mailing Telephone | 5733592930 |
| Mailing Fax Number | 5733591304 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | GLENN D HAYNES (CEO) |
| Authorized Official Telephone | 5733592930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| EHS MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303204 | Hayti Medical Clinic, Inc | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2005-11-15 |
| 1851373906 | Hayti Medical Clinic, Inc | Clinic/Center | 1502 Ward Ave, Caruthersville, MO 63830-2571 | 2005-11-15 |
| Street Address |
223 S 3RD ST |
| City | HAYTI |
| State | MO |
| Zip Code | 63851-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303204 | Hayti Medical Clinic, Inc | Clinic/Center | 223 S 3rd St, Hayti, MO 63851-1617 | 2005-11-15 |
| 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 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1285118950 | Vera Whole Health, Wa PC | Clinic/Center | 8350 N. Church Road, Kansas City, MO 64158 | 2018-09-19 |
| 1003324542 | Quad/med, LLC | Clinic/Center | 2015 Ne Jefferson Street, Grain Valley, MO 64029 | 2018-01-18 |
| 1093267601 | Careatc-saint Peter | Clinic/Center | 4601 Executive Centre Pkwy, Saint Peters, MO 63376-1683 | 2016-10-30 |
| 1407303480 | Kerns Family Health Care LLC | Clinic/Center | 1335 Vilage Dr B, St. Joseph, MO 64506-2457 | 2016-09-07 |
| 1316491020 | Wecare Tlc - Wwt Mo Family Health Center | Clinic/Center | 58 Weldon Pkwy, Bldg 58, Maryland Heights, MO 63043-3237 | 2016-08-10 |
| 1255703500 | Community Hospital Association | Clinic/Center | 101 South Washington Street, Oregon, MO 64473 | 2015-10-27 |
| 1023485752 | Dennis E. Robinson D.o. | Clinic/Center | 487 Pomme De Terre Dr., Marshfield, MO 65706 | 2015-08-28 |
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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.