HOMETOWN FAMILY MEDICAL CLINIC, LLC; NPI #1962024018

Contact Information

HOMETOWN FAMILY MEDICAL CLINIC, LLC

411 MAIN ST
PALESTINE, AR 72372

Phone: 870-270-6935
Fax: 949-655-7844
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for HOMETOWN FAMILY MEDICAL CLINIC, LLC

NPI Number	`1962024018`
LBN Legal business name	HOMETOWN FAMILY MEDICAL CLINIC, LLC
Authorized official	SANDRA THORNE - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/12/2020
Last updated	09/09/2020 - About 6 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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HOMETOWN FAMILY MEDICAL CLINIC, LLC

Contact Information

Specialty

Family

NPI Profile & details for HOMETOWN FAMILY MEDICAL CLINIC, LLC

Reviews for HOMETOWN FAMILY MEDICAL CLINIC, LLC