| Hayes Medical Center Pa | |
|
1332 Londontown Blvd 115 A&b Eldersburg MD 21784-6587 | |
| (410) 719-6470 | |
| (410) 719-6472 |
| Full Name | Hayes Medical Center Pa |
|---|---|
| Speciality | General Practice |
| Location | 1332 Londontown Blvd, Eldersburg, Maryland |
| Authorized Official Name and Position | Angela M Hayes (OFFICE MANAGER) |
| Authorized Official Contact | 4107196470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hayes Medical Center Pa 1332 Londontown Blvd 115 A&b Eldersburg MD 21784-6587 Ph: (410) 719-6470 | Hayes Medical Center Pa 1332 Londontown Blvd 115 A&b Eldersburg MD 21784-6587 Ph: (410) 719-6470 |
| NPI Number | 1316021819 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 01/31/2022 |
| Medicare PECOS PAC ID | 7719048750 |
|---|---|
| Medicare Enrollment ID | O20081209000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316021819 | NPI | - | NPPES |
| 786431100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Donald J Hayes |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972698942 PECOS PAC ID: 3375604879 Enrollment ID: I20081202000656 |
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