Organization
DYERSBURG CLINIC CORP
Active
Parent organization
DYERSBURG CLINIC CORP
Other names
CARUTHERSVILLE CLINIC - HAYTI
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYERSBURG CLINIC CORP
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
310 E MAIN ST, HAYTI, MO 63851-1639
(573) 359-2517
(573) 359-6281
Mailing address
PO BOX 848392, BOSTON, MA 02284-8392
(617) 402-1000
(617) 402-1099
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2010
Last updated
05/14/2012
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