John B Jacobs (NPI# 1780654053, PAC ID# 1850465576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1780654053 |
| PAC ID by PECOS | 1850465576 |
| Professional Enrollment ID | I20091208000434 |
| Full Name | John B Jacobs |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Address |
9755 W State Hwy 22 Ratcliff AR 72951-9000 |
| Phone Number | 4796355300 |
| Gender | M |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 0042274276 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041300 | NORTH LOGAN MERCY HOSPITAL |
| 040062 | MERCY HOSPITAL FORT SMITH |
| 041318 | MERCY HOSPITAL BOONEVILLE |
| Address | Phone | Organization |
|---|---|---|
| 9755 W State Hwy 22, Ratcliff, AR 72951-9000 | 4796355300 | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Organization Legal Name | RIVER VALLEY PRIMARY CARE SERVICES, INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael G Kemp | Family Practice | River Valley Primary Care Services, Inc | 421 N Main St, Mulberry, AR 72947-8574 |
| Laura Ann Henson | Nurse Practitioner | River Valley Primary Care Services, Inc | 3202 N 6th St, Fort Smith, AR 72904-4164 |
| Kelly J. Hubbard | Nurse Practitioner | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| James Saunders | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Catherine L Mustain | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Street Address |
9755 W STATE HWY 22 |
| City | RATCLIFF |
| State | AR |
| Zip | 72951-9000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan H Bennett | Internal Medicine | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Charles D Parker | Family Medicine | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Tracy R Harwood | Nurse Practitioner | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| April Revis | Nurse Practitioner | River Valley Primary Care Services | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Kelly J. Hubbard | Nurse Practitioner | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| James Saunders | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| Catherine L Mustain | Physician Assistant | River Valley Primary Care Services, Inc | 9755 W State Hwy 22, Ratcliff, AR 72951-9000 |
| City | RATCLIFF |
| Zip Code | 72951 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | RATCLIFF + FAMILY PRACTICE |
Please comment or provide details below to improve the information on John B Jacobs.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.