Organization
HAYTI MEDICAL CLINIC, INC
Active
Other names
EHS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN D HAYNES (CEO)
(573) 359-2930
Entity
Organization
Contact information
Practice address
223 S 3RD ST, HAYTI, MO 63851-1617
(573) 359-2019
(573) 359-2083
Mailing address
PO BOX 37, HAYTI, MO 63851-0037
(573) 359-2930
(573) 359-1304
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
10/12/2007
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