Haley Elizabeth Ford
Individual provider Active NPI Other Technician · Hayti, MO
NPI 1114378494 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1114378494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 500 Highway J # 61JN
Hayti, MO 63851-1200 - Phone
- (573) 359-2600
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
500 Highway J # 61JN
Hayti, MO 63851-1200
Mailing address
PO Box 441
500 Highway 61 J N
Hayti, MO 63851-0441
Phone (573) 359-2600
Other names
- Haley Elizabeth Moore
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.