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HOMETOWN DIRECT PRIMARY CARE PLLC NPI 1164042412


NPI Information

NPI: 1164042412
Provider Name: HOMETOWN DIRECT PRIMARY CARE PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 34D2184977

Address:
332 N BRIGHTLEAF BLVD STE C
SMITHFIELD, NC
ZIP 27577
Phone: (919) 901-7344
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HOMETOWN DIRECT PRIMARY CARE PLLC is a primary care clinic center in Smithfield, NC. HOMETOWN DIRECT PRIMARY CARE PLLC NPI is 1164042412. The provider is registered as an organization entity type.

The provider's business location address is:

332 N BRIGHTLEAF BLVD STE C
SMITHFIELD, NC
ZIP 27577-604
Phone: (919) 901-7344
Fax: (319) 250-7453

The provider's authorized official is Crystal B Rambeau .
The authorized official title is Owner and has the following contact phone number (919) 901-7344.

The CLIA number assigned to this NPI record is 34D2184977 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2020 and was last updated on 11/13/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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