NPIMap

Organization Active NPI

Hayti Medical Clinic, Inc

Doing business as Ehs Medical Clinic

  • Primary Care Clinic/Center
  • Hayti, MO
National Provider Identifier
1982723375
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
HAYTI MEDICAL CLINIC, INC
Doing business as
Ehs Medical Clinic
Practice address
223 S 3Rd St
Hayti, MO 63851-1617
Phone
(573) 359-2019
Fax
(573) 359-2083
NPI assigned
Mar 28, 2007
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Glenn D Haynes
Title
Ceo
Phone
(573) 359-2930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

223 S 3Rd St
Hayti, MO 63851-1617

Mailing address

PO Box 37
Hayti, MO 63851-0037
Phone (573) 359-2930

Other names 1

  • EHS MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ehs Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1982723375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638510037",
            "telephone_number": "573-359-2930",
            "fax_number": "573-359-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S 3RD ST",
            "city": "HAYTI",
            "state": "MO",
            "postal_code": "638511617",
            "telephone_number": "573-359-2019",
            "fax_number": "573-359-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYTI MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-359-2930"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EHS MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hayti, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.