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NPI Code Detail

MEDICARE: DR HAYES YOUNG & JACOBS LTD

MEDICARE: DR HAYES YOUNG & JACOBS LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC4111AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20120707OTHERARUNITED HEALTHCARE

General Provider Information

NPI Number : 1780667618
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR HAYES YOUNG & JACOBS LTD
Provider Business Mailing Address
First Line : 411 FALLS BLVD S
Second Line :
City : WYNNE
State : AR
Zip : 72396-3501
Country : US
Telephone Number : 870-238-3261
Fax Number : 870-238-3115
Provider Business Practice Location Address
First Line : 411 FALLS BLVD S
Second Line :
City : WYNNE
State : AR
Zip : 72396-3501
Country : US
Telephone Number : 870-238-3261
Fax Number : 870-238-3115
Authorized Official
Title or Position : MD
Name : DR. JAMES ROBINSON JACOBS
Credential : MD
Telephone Number : 870-238-3261
Provider Enumeration Date : 11/23/2005
Last Update Date : 08/07/2008

Similar Medicare Providers

1184625402 — MR. RICHARD EUGENE BOECKMANN P.D.
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-8511
Practice Fax: 870-238-2135
1538108477 — LEANN DALLAS PHARMD
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-8511
Practice Fax:
1972658771 — DR. JAMES R JACOBS M.D.
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-3261
Practice Fax: 870-238-3115
1639368731 — MRS. MICHELLE FRANCES CHAPMAN APRN
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-3261
Practice Fax: 870-238-3115
1285164145 — MRS. LESLI ASHTEN ANDERSON APRN
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-3261
Practice Fax: 870-238-3115
1578026027 — TRINT ARLON GUNNELS MD
Practice Location Address:
411 FALLS BLVD S
WYNNE, AR
72396-3501
Practice Phone: 870-238-3261
Practice Fax: 870-238-3115

Directions to “DR HAYES YOUNG & JACOBS LTD ” Practice Location

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