HOMETOWN DIRECT PRIMARY CARE PLLC (NPI# 1164042412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164042412 |
| Entity Type | Organization |
| Organization Name | HOMETOWN DIRECT PRIMARY CARE PLLC |
| Practice Address |
332 N Brightleaf Blvd Ste C Smithfield NC 27577-4604 |
| Mailing Address |
Po Box 2559 Smithfield NC 27577-2559 |
| Practice Telephone | 9199017344 |
| Practice Fax Number | 3192507453 |
| Mailing Telephone | 9199017344 |
| Mailing Fax Number | 3192507453 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | CRYSTAL B RAMBEAU (OWNER) |
| Authorized Official Telephone | 9199017344 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
332 N BRIGHTLEAF BLVD STE C |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-4604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215360094 | Doctors Office 2 U | Clinic/Center | 3221 E Highway 22, Smithfield, KY 40068-9302 | 2013-08-15 |
| 1174806327 | Concentra Primary Care Pa | Clinic/Center | 400 Putnam Pike, Suite E, Smithfield, RI 02917 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1528619293 | Careatc | Clinic/Center | 3615 Whitehall Park Dr Ste G, Charlotte, NC 28273-4199 | 2019-09-24 |
| 1568021160 | Brighter Pathway To Healthcare | Clinic/Center | 2641 Cameron Woods Ln Apt Suite, Fayetteville, NC 28306-7700 | 2019-06-07 |
| 1467931584 | Healthworks Med Group of North Carolina P C | Clinic/Center | 112 Medical Village Dr Ste F, Wallace, NC 28466-1665 | 2018-08-09 |
| 1598257750 | Balsam Health of The Carolinas, Pllc | Clinic/Center | 607 W Grover St Ste 101, Shelby, NC 28150-2816 | 2018-06-04 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1194233403 | Futuremed Evening Clinic Pllc | Clinic/Center | 2003 Boulevard St Ste C, Greensboro, NC 27407-4579 | 2018-01-21 |
| 1356852511 | Grace Clinic of Yadkin Valley | Clinic/Center | 948 Johnson Ridge Rd, Elkin, NC 28621-0948 | 2017-10-16 |
| 1003326802 | Essential Health & Wellness Raleigh | Clinic/Center | 2011 Falls Valley Dr Ste 111, Raleigh, NC 27615-3451 | 2017-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on HOMETOWN DIRECT PRIMARY CARE PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.