| Hometown Healthcare Solution, Llc. | |
|
811 W Main St Henryetta OK 74437-4249 | |
| (918) 319-5021 | |
| Not Available |
| Full Name | Hometown Healthcare Solution, Llc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 811 W Main St, Henryetta, Oklahoma |
| Authorized Official Name and Position | Susan Elaine Graham (PROVIDER) |
| Authorized Official Contact | 9183195021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Healthcare Solution, Llc. 402 N Kings Rd Henryetta OK 74437-3809 Ph: (918) 319-5021 | Hometown Healthcare Solution, Llc. 811 W Main St Henryetta OK 74437-4249 Ph: (918) 319-5021 |
| NPI Number | 1467182741 |
|---|---|
| Provider Enumeration Date | 06/10/2022 |
| Last Update Date | 10/31/2022 |
| Medicare PECOS PAC ID | 2668849605 |
|---|---|
| Medicare Enrollment ID | O20221104001223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467182741 | NPI | - | NPPES |
| Provider Name | Andrew J Lovell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902185077 PECOS PAC ID: 1951628619 Enrollment ID: I20160421002415 |
| Provider Name | Susan Elaine Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450628 PECOS PAC ID: 6608206974 Enrollment ID: I20200429001088 |
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