HOMETOWN MEDICAL CLINIC NPI 1275280273

NPI Information

NPI: 1275280273
Provider Name: HOMETOWN MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2255008

Address:
1034 MAIN ST STE B
BEAN STATION, TN
ZIP 37708
Phone: (865) 203-5077
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HOMETOWN MEDICAL CLINIC is a primary care clinic center in Bean Station, TN. HOMETOWN MEDICAL CLINIC NPI is 1275280273. The provider is registered as an organization entity type.

The provider's business location address is:

1034 MAIN ST STE B
BEAN STATION, TN
ZIP 37708-257
Phone: (865) 203-5077

The provider's authorized official is Ashley Mckinney .
The authorized official title is Member/manager and has the following contact phone number (865) 203-5077.

The CLIA number assigned to this NPI record is 44D2255008 - physician office with a certificate type of Certificate of Waiver.

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

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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