HOME TOWN CLINIC LLC NPI 1285010496

NPI Information

NPI: 1285010496
Provider Name: HOME TOWN CLINIC, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 45D2111804

Address:
2725 NE LOOP 286
PARIS, TX
ZIP 75460
Phone: (039) 905-5071
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HOME TOWN CLINIC, LLC is a health service clinic center in Paris, TX. HOME TOWN CLINIC, LLC NPI is 1285010496. The provider is registered as an organization entity type.

The provider's business location address is:

2725 NE LOOP 286
PARIS, TX
ZIP 75460-427
Phone: (039) 905-5071

The provider's authorized official is Lola Young .
The authorized official title is Member and has the following contact phone number (903) 905-4810.

The CLIA number assigned to this NPI record is 45D2111804 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2015 and was last updated on 8/31/2022.

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	261QH0100X	Clinic/Center	Health Service			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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