Provider Demographics
NPI:1740447259
Name:HMH PHYSICIANS GROUP
Entity type:Organization
Organization Name:HMH PHYSICIANS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-845-8102
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:71852-0381
Mailing Address - Country:US
Mailing Address - Phone:870-845-4400
Mailing Address - Fax:870-845-4178
Practice Address - Street 1:800 W LESLIE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:AR
Practice Address - Zip Code:71852-0381
Practice Address - Country:US
Practice Address - Phone:870-845-4400
Practice Address - Fax:870-845-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR57969OtherBLUE CROSS PHYSICIAN
AR57969Medicare PIN