HOME TOWN CLINIC (NPI# 1851837017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851837017 |
| Entity Type | Organization |
| Organization Name | HOME TOWN CLINIC |
| Practice Address |
101 River Dr Irvine KY 40336-1117 |
| Practice Telephone | 6067260200 |
| Practice Fax Number | 6067260226 |
| Mailing Telephone | 6067260200 |
| Mailing Fax Number | 6067260226 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MRS. JOYCE LYNN PUCKETT (OWNER) |
| Authorized Official Telephone | 6067260200 |
| Authorized Official Credential | APRN |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538505268 | Home Town Clinic | Clinic/Center | 206 S Horton Pkwy, Chapel Hill, TN 37034-3102 | 2013-05-21 |
| Street Address |
101 RIVER DR |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871871780 | Greater Kentucky Wellness Center LLC | Clinic/Center | 101 River Dr, Irvine, KY 40336-1117 | 2011-07-26 |
| 1245784982 | Joyce Lynn Puckett | Nurse Practitioner | 101 River Dr, Irvine, KY 40336-1117 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699521 | Flora Lim | Clinic/Center | 2500 Alton Pkwy Ste 108, Irvine, CA 92606-5032 | 2020-11-08 |
| 1609325588 | Irvine Village Urgent Care | Clinic/Center | 15435 Jeffrey Rd Ste 127, Irvine, CA 92618-4113 | 2016-10-03 |
| 1093197816 | Tony Yang, D.d.s.,m.d., Corp. | Clinic/Center | 113 Waterworks Way Ste 110, Irvine, CA 92618-3171 | 2015-06-29 |
| 1114211497 | Sun Healthcare Group | Clinic/Center | 18831 Von Karman Ave, Suite 400, Irvine, CA 92612-1533 | 2011-06-05 |
| 1720380355 | Healthworks Med Group of California A Medical Corporation | Clinic/Center | 2525 Mcgaw Ave, Irvine, CA 92614-5841 | 2010-12-02 |
| 1306153382 | Shahla Heshmati M.d., Inc. | Clinic/Center | 15785 Laguna Canyon Rd Ste 250, Irvine, CA 92618-3179 | 2010-09-11 |
| 1104028588 | Steven C Luh, Md Inc. | Clinic/Center | 4950 Barranca Pkwy Ste 202, Irvine, CA 92604-4687 | 2007-06-05 |
| 1548711096 | Milanes Md Medical Corp | Clinic/Center | 62 Corporate Park Ste 245, Irvine, CA 92606-3127 | 2016-10-19 |
| 1417335001 | Shawn H. Hamilton, M.d.,inc. | Clinic/Center | 4902 Irvine Center Dr Ste 105, Irvine, CA 92604-3334 | 2015-05-14 |
| 1447534490 | Advanced Pain and Weight Loss Solutions, Psc | Clinic/Center | 133 Main St, Irvine, KY 40336-1084 | 2011-10-07 |
| Find all providers in IRVINE | ||||
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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.