# MCPHERSON MEDICAL & DIAGNOSTIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hayti Medical & Diagnostic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336885433
- **Authorized official:** TIMOTHY WILLIAM MCPHERSON (OWNER)
- **Authorized official phone:** (573) 695-2181

## Contact information

- **Practice address:** 223 S 3RD ST, HAYTI, MO 63851-1617
- **Practice address phone:** (573) 479-3075
- **Practice address fax:** (573) 479-3085
- **Mailing address:** 901 W COMMERCIAL ST, KENNETT, MO 63857-1100
- **Mailing address phone:** (573) 717-1072
- **Mailing address fax:** (573) 717-1529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 12/13/2024