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General NPI Number Information
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NPI Number | 1184941346
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Entity Type | Organization
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Legal Business Name | HOMETOWN HEALTHCARE LLC
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 06/09/2017
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Provider Practice Location Address
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Address Line | 404 E SAN MARCOS ST
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City | PEARSALL
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State | TX
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Zip | 78061-3226
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Country | US
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Telephone | 830-334-3336
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Fax | 830-334-5574
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Provider Business Mailing Address
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Address Line | P. O. BOX 2070
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City | ORANGE GROVE
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State | TX
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Zip | 78372-2070
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Country | US
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Telephone | 830-879-2279
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Fax | 830-879-2235
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILL D THOMPSON
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Credential | PA
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Telephone | 830-879-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number | PA04256
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License Number State | TX
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