HOMETOWN WELLNESS PLLC NPI 1285229856

NPI Information

  • NPI: 1285229856
  • Provider Name: HOMETOWN WELLNESS PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 46D2216420
  • Address: 45 S REDWOOD ST # 750
    COLORADO CITY, AZ
    ZIP 86021
  • Phone: (928) 377-0629

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NPI Details

HOMETOWN WELLNESS PLLC is a family medicine in Colorado City, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOMETOWN WELLNESS PLLC NPI is 1285229856. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 S REDWOOD ST # 750
COLORADO CITY, AZ
ZIP 86021-322
Phone: (928) 377-0629

The provider's authorized official is Theil L Cooke .
The authorized official title is Owner and has the following contact phone number (928) 377-0629.

The CLIA number assigned to this NPI record is 46D2216420 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/5/2021 and was last updated on 3/5/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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