Dyersburg Clinic Corp

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

DYERSBURG CLINIC CORP

Practice address

310 E Main St
Hayti, MO 63851-1639

Phone

(573) 359-2517

Fax

(573) 359-6281

NPI assigned

May 4, 2010

Organization subpart

Yes

Parent organization

DYERSBURG CLINIC CORPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie Brewer

Title

Director

Phone

(615) 465-7626

Specialties & licenses 1

Addresses

Other names 1

• CARUTHERSVILLE CLINIC - HAYTI Doing business as

Part of

Dyersburg Clinic Corp

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pascaline McClinton, MD

  • Obstetrics & Gynecology Physician
  • Dyersburg, TN
  • NPI 1336397454
  NPD (past)
• Amber Shapton

  • Nurse Practitioner
  • Yakima, WA
  • NPI 1588805329
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1285952044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848392",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022848392",
            "telephone_number": "617-402-1000",
            "fax_number": "617-402-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511639",
            "telephone_number": "573-359-2517",
            "fax_number": "573-359-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYERSBURG CLINIC CORP",
        "enumeration_date": "2010-05-04",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7626"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARUTHERSVILLE CLINIC - HAYTI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy Dillard
• Roosevelt Dismukes Jr.
• Donna Ring Corporation
• Stacy Drumright
• Dominick Dunn
• Hannah Egbert
• Brianna Ellis
• Hailea Erwin
• Elisha J Evans
• Extended Enterprises, Inc

• All providers in Hayti, MO
• Rural Health Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.