Organization
KOSSUTH FAMILY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY G HAYHURST MSN, APRN, BC FNP (OWNER)
(662) 286-5055
Entity
Organization
Contact information
Practice address
820 HIGHWAY 2, CORINTH, MS 38834-7954
(662) 286-5055
(662) 286-9700
Mailing address
PO BOX 8023, CORINTH, MS 38834-8023
(662) 286-5055
(662) 286-9700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R560634
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08788775
—
MS
Enumeration date
02/27/2007
Last updated
08/22/2020
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