HOMETOWN MEDICAL LLC (NPI# 1255437844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255437844 |
| Entity Type | Organization |
| Organization Name | HOMETOWN MEDICAL LLC |
| Practice Address |
814 Belmont Street Vicksburg MS 39180 |
| Practice Telephone | 6016346363 |
| Practice Fax Number | 6016346380 |
| Mailing Telephone | 6016346363 |
| Mailing Fax Number | 6016346380 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID HOSEMANN (OWNER) |
| Authorized Official Telephone | 6016346363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440965 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275825911 | Hometown Medical LLC | Durable Medical Equipment & Medical Supplies | 190 Michigan Ave., Smithers, WV 25186-0011 | 2011-05-13 |
| 1649407008 | Hometown Medical LLC | Durable Medical Equipment & Medical Supplies | 2600 Lakeland Dr, Flowood, MS 39232-8823 | 2009-06-12 |
| 1376560466 | Hometown Medical LLC | Durable Medical Equipment & Medical Supplies | 7711 N Oak Trfy, Suite R, Gladstone, MO 64118-1712 | 2006-07-16 |
| 1821445610 | Hometown Medical LLC | Family Medicine | 1736 Alexandria Dr, Ste 100, Lexington, KY 40504-3160 | 2016-05-21 |
| Street Address |
814 BELMONT STREET |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790329183 | Lan Medical | Durable Medical Equipment & Medical Supplies | 12057 W Indian Lake Dr, Vicksburg, MI 49097-9338 | 2019-10-29 |
| 1740682210 | Mississippi Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1435 N. Frontage Rd, Vicksburg, MS 39180-5170 | 2014-09-16 |
| 1316261845 | Magnolia Mobility | Durable Medical Equipment & Medical Supplies | 3109 Washington St, Vicksburg, MS 39180-4968 | 2010-03-26 |
| 1194994434 | Patrick Emeka Igbokwe | Durable Medical Equipment & Medical Supplies | 4798 Highway 61 S, Suite B, Vicksburg, MS 39180-7125 | 2008-02-20 |
| 1487725313 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 2480 S Frontage Rd, Ste F, Vicksburg, MS 39180-5251 | 2006-11-13 |
| 1477662864 | Harco Inc | Durable Medical Equipment & Medical Supplies | 2310 Clay Street, Vicksburg, MS 39183-3123 | 2006-08-29 |
| 1013026400 | K & B Mississippi Corp | Durable Medical Equipment & Medical Supplies | 3046 Indiana Avenue, Vicksburg, MS 39180-5252 | 2006-08-29 |
| 1275548430 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3341 Halls Ferry Rd, Vicksburg, MS 39180-5338 | 2006-07-29 |
| 1982621389 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2150 Iowa Blvd, Vicksburg, MS 39180-5572 | 2006-07-16 |
| 1093749871 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 3405 Pemberton Square Blvd, Vicksburg, MS 39180-5574 | 2006-07-10 |
| Find all providers in VICKSBURG | ||||
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| 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.