| Hometown Family Care Pllc | |
|
400 University Drive Suite 101a Prestonsburg KY 41653-1080 | |
| (606) 886-3831 | |
| (606) 886-3440 |
| Full Name | Hometown Family Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 400 University Drive, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Joseph L. Grossman (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Care Pllc 100 Airport Gardens Road Hazard KY 41701-7529 Ph: (606) 487-7524 | Hometown Family Care Pllc 400 University Drive Suite 101a Prestonsburg KY 41653-1080 Ph: (606) 886-3831 |
| NPI Number | 1184793986 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 09/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184793986 | NPI | - | NPPES |
| 65943508 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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