Hayti Clinic

LBN: Caruthersville Clinic
Hayti Clinic is an health care organization with primary practice located at 310 E Main St , Hayti MO 63851-1639. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Caruthersville Clinic can be contacted via phone (573) 359-2518, or through Ledbetter, Amy D via phone (573) 651-4488.

Contact Information

Primary practice address
310 E Main St Hayti MO 63851-1639
Phone: (573) 359-2518
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ledbetter, Amy D
Phone: (573) 651-4488

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1497929335
LBN Legal business name Caruthersville Clinic
DBA Doing business as Hayti Clinic
Authorized official Ledbetter, Amy D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497929335 NPPES
Missouri MEDICAID 597191204

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