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Organization
HAYTI MEDICAL CLINIC, INC
Active
Organization
HAYTI MEDICAL CLINIC, INC
Active
Other names
Extended Health Systems Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN HAYNES (CEO)
(573) 359-2930
Entity
Organization
Contact information
Practice address
1502 WARD AVE, CARUTHERSVILLE, MO 63830-2571
(573) 333-4244
(573) 333-4551
Mailing address
PO BOX 37, HAYTI, MO 63851-0037
(573) 359-2930
(573) 359-1304
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/15/2005
Last updated
08/22/2020
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