Caruthersville Clinic
Organization Active NPI Rural Health Clinic/Center · Hayti, MO
NPI 1497929335 · NPPES record last updated Apr 22, 2008
Key facts
- NPI
- 1497929335
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CARUTHERSVILLE CLINIC
- Practice address
- 310 E Main St
Hayti, MO 63851-1639 - Phone
- (573) 359-2518
- NPI assigned
- Apr 22, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy D Ledbetter
- Title
- Director of Operations
- Phone
- (573) 651-4488
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Caruthersville Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
310 E Main St
Hayti, MO 63851-1639
Mailing address
310 E Main St
Hayti, MO 63851-1639
Phone (573) 359-2518
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 597191204 | Medicaid | MO |
Other names
- Hayti Clinic
Other providers in Hayti, MO
- Cheryl Byrd
- Kristen Nicole Callis
- Misty Leann Callis
- Richard Keith Campbell
- Carelink Extended LLC
- Cee &Tee Transportation LLC
- Nicole Annette Collins
- Brigett Paige Corcoran
- Betty Ann Cossey
- Cotoneaster Incorporated
All providers in Hayti, MO · Rural Health Clinic/Center in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2008. 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.