HAYWOOD HUGHES


Address: 1004 Goetz Blvd Apt 4, Joplin, MO 64801-1470
Phone: (417) 437-3675

HAYWOOD HUGHES (NPI# 1740718303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740718303
Entity Type Individual
Full Name HAYWOOD HUGHES
Practice Address 1004 Goetz Blvd Apt 4
Joplin
MO 64801-1470
Practice Telephone (417) 437-3675
Mailing Telephone 4174373675
Enumeration Date 2017-05-26
Last Update Date 2017-05-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 1004 GOETZ BLVD APT 4
City JOPLIN
State MO
Zip Code 64801-1470

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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

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1922642438 Christine Marie Forrest Peer Specialist 1106 Marlowe St, Fredericktown, MO 63645-8835 2019-10-29
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Competitor

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City JOPLIN
Zip Code 64801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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