HAYTI MEDICAL CLINIC
NPI 1144570995
Clinic/Center in Hayti, SD

Active since September 19, 2012
102 MAIN AVE, HAYTI, SD 57241(605) 783-3030(605) 783-1320 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hayti Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAYTI MEDICAL CLINIC (NPI 1144570995) is a healthcare organization registered as a clinic/center in Hayti, South Dakota and active in the NPI registry since September 2012. The organization lists Mitchell P. Jenner, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1144570995
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHAYTI MEDICAL CLINIC
Location Address102 MAIN AVEHayti, SD 57241-0238
Mailing Address102 Main AveHayti, SD 57241-0238 · (605) 783-3030 · Fax (605) 783-1320
Fax(605) 783-1320
Organization SubpartNo
Authorized OfficialMitchell P. JennerNurse Practitioner · (605) 783-3030
Enumeration DateSeptember 19, 2012
NPI 1144570995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in SD · CP000033
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

102 MAIN AVE, Hayti, SD 57241

Other Identifiers 2

Medicare PINS103370SD
Medicaid6820663SD

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
102 MAIN AVE
HAYTI, SD 57241
Nurse Practitioner (Family)
102 MAIN AVE
HAYTI, SD 57241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hayti Medical Clinic's NPI number?

The NPI number for Hayti Medical Clinic is 1144570995. It was assigned to this organization in the NPPES registry on September 19, 2012.

Where is Hayti Medical Clinic located?

Hayti Medical Clinic is located at 102 Main Ave, Hayti, SD 57241. The listed phone number is (605) 783-3030.

What is Hayti Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Hayti Medical Clinic was last updated on September 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.