HAYTI MEDICAL CLINIC INC NPI 1851373906

NPI Information

NPI: 1851373906
Provider Name: HAYTI MEDICAL CLINIC, INC

Doing Business As: EXTENDED HEALTH SYSTEMS MEDICAL CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1502 WARD AVE
CARUTHERSVILLE, MO
ZIP 63830
Phone: (573) 333-4244
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HAYTI MEDICAL CLINIC, INC is a rural health clinic center in Caruthersville, MO. HAYTI MEDICAL CLINIC, INC NPI is 1851373906. The provider is registered as an organization entity type.
The provider Is Doing Business As Extended Health Systems Medical Clinic.

The provider's business location address is:

1502 WARD AVE
CARUTHERSVILLE, MO
ZIP 63830-571
Phone: (573) 333-4244
Fax: (573) 333-4551

The provider's authorized official is Glenn Haynes .
The authorized official title is Ceo and has the following contact phone number (573) 359-2930.

The enumeration date for this NPI number is 11/15/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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