HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE NPI 1881474385

NPI Information

NPI: 1881474385
Provider Name: HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 15D2292876

Address:
4792 N STATE ROAD 135
SALEM, IN
ZIP 47167
Phone: (812) 844-1049
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HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE is a family nurse practitioner in Salem, IN. HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE NPI is 1881474385. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4792 N STATE ROAD 135
SALEM, IN
ZIP 47167-018
Phone: (812) 844-1049

The provider's authorized official is Karen Smedley .
The authorized official title is Nurse Practitioner and has the following contact phone number (812) 844-1049.

The CLIA number assigned to this NPI record is 15D2292876 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2023 and was last updated on 10/2/2023.

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				No
2	363LF0000X	Nurse Practitioner	Family			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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