| NPI | 1609101534 |
|---|---|
| Doing Business As | HOMETOWN HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMMY ETHERIDGE Chief Operating Officer 731-352-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN ODT1599) |
| 207Q00000X Family Medicine (Licence: TN MD23833) | |
| 261Q00000X Clinic/Center | |
| 363A00000X Physician Assistant (Licence: TN PA1262) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN APN14751) | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-05-06 |