HOMETOWN HEALTHCARE PC NPI 1558409698

NPI Information

NPI: 1558409698
Provider Name: HOMETOWN HEALTHCARE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
955 HIGH ST
STE 2
DECATUR, IN
ZIP 46733
Phone: (260) 724-8700
Get Directions

HOMETOWN HEALTHCARE PC is a family medicine in Decatur, IN. 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 HEALTHCARE PC NPI is 1558409698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

955 HIGH ST
STE 2
DECATUR, IN
ZIP 46733-326
Phone: (260) 724-8700
Fax: (260) 728-3821

The provider's authorized official is Michael E Ainsworth .
The authorized official title is Sole Proprietor and has the following contact phone number (206) 724-8700.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 11/19/2009.

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	363L00000X	Nurse Practitioner		71001926A	INDIANA	No
2	207Q00000X	Family Medicine		01045263A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	20274870A	MEDICAID	INDIANA
2	9132	OTHER	INDIANA	PHP
3	G13322	MEDICARE UPIN	INDIANA
4	148540	MEDICARE ID-TYPE UNSPECIFIED	INDIANA
5	080154120	OTHER	INDIANA	RAILROAD MEDICARE
6	000000105448	OTHER	INDIANA	ANTHEM
7	Q50937	MEDICARE UPIN	INDIANA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »