MEDICARE: HOMETOWN URGENT CARE OF MICHIGAN, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1891435624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMETOWN URGENT CARE OF MICHIGAN, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 500
Second Line	:
City	:	ELLICOTTVILLE
State	:	NY
Zip	:	14731-0500
Country	:	US
Telephone Number	:	716-699-9032
Fax Number	:	716-699-9035

Provider Business Practice Location Address
First Line	:	25 COLUMBIA AVE E
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-3703
Country	:	US
Telephone Number	:	269-425-3017
Fax Number	:	269-425-3018

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN RADFORD
Credential	:	MD
Telephone Number	:	716-699-9032

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	10/16/2024

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