HOMETOWN FAMILY MEDICINE INC. NPI 1013318070

NPI Information

HOMETOWN FAMILY MEDICINE, INC. is a primary care nurse practitioner in Moody, AL. HOMETOWN FAMILY MEDICINE, INC. NPI is 1013318070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2846 MOODY PKWY
MOODY, AL
ZIP 35004-328
Phone: (205) 640-1756
Fax: (205) 640-1796

The provider's authorized official is Kala Blakely .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (205) 640-1756.

The CLIA number assigned to this NPI record is 01D2085084 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/9/2014 and was last updated on 3/23/2022.

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:

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