| Hamby & Hamby Family Wellness Clinic Pllc | |
|
30 Northridge Dr Van Buren AR 72956-6668 | |
| (479) 420-4575 | |
| Not Available |
| Full Name | Hamby & Hamby Family Wellness Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 30 Northridge Dr, Van Buren, Arkansas |
| Authorized Official Name and Position | Tamara Hamby (OFFICE MANAGER) |
| Authorized Official Contact | 4799229355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamby & Hamby Family Wellness Clinic Pllc Po Box 6968 Van Buren AR 72956-0961 Ph: (479) 420-4575 | Hamby & Hamby Family Wellness Clinic Pllc 30 Northridge Dr Van Buren AR 72956-6668 Ph: (479) 420-4575 |
| NPI Number | 1063618346 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 08/25/2020 |
| Medicare PECOS PAC ID | 4587758149 |
|---|---|
| Medicare Enrollment ID | O20070913000621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063618346 | NPI | - | NPPES |
| 131118001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E0957 (Arkansas) | Primary |
| Provider Name | Jeffrey Hamby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831178524 PECOS PAC ID: 6305748666 Enrollment ID: I20040126000731 |
| Provider Name | Crystal Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922508845 PECOS PAC ID: 6002178753 Enrollment ID: I20180319000375 |
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