HOMETOWN HEALTHCARE OF THE RIVER VALLEY PLLC NPI 1013589704

NPI Information

HOMETOWN HEALTHCARE OF THE RIVER VALLEY, PLLC is a family nurse practitioner in Clarksville, AR. HOMETOWN HEALTHCARE OF THE RIVER VALLEY, PLLC NPI is 1013589704. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 S CRAVENS ST
CLARKSVILLE, AR
ZIP 72830-607
Phone: (479) 774-9992

The provider's authorized official is Rebekah K Mize .
The authorized official title is Owner/member and has the following contact phone number (479) 774-9992.

The CLIA number assigned to this NPI record is 04D2230014 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2021 and was last updated on 7/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.