| Hometown Wellness Pllc | |
|
45 S Redwood St # 750 Colorado City AZ 86021-6322 | |
| (928) 377-0629 | |
| Not Available |
| Full Name | Hometown Wellness Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 45 S Redwood St # 750, Colorado City, Arizona |
| Authorized Official Name and Position | Theil L Cooke (OWNER) |
| Authorized Official Contact | 9283770629 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Wellness Pllc Po Box 750 Colorado City AZ 86021-0750 Ph: (928) 377-0629 | Hometown Wellness Pllc 45 S Redwood St # 750 Colorado City AZ 86021-6322 Ph: (928) 377-0629 |
| NPI Number | 1285229856 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 03/05/2021 |
| Medicare PECOS PAC ID | 1850709189 |
|---|---|
| Medicare Enrollment ID | O20210426001597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285229856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shirley J Barlow |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770697351 PECOS PAC ID: 0840463535 Enrollment ID: I20111025000169 |
| Provider Name | Theil Cooke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790326353 PECOS PAC ID: 9739516824 Enrollment ID: I20210426001670 |
Hildale Health Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 South Colvin Street, Colorado City, AZ 86021 Phone: 435-633-6750 Fax: 435-201-8680 | |
Creek Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20 S Colvin Street # 0418, Colorado City, AZ 86021 Phone: 435-900-1104 |