Provider Demographics
NPI:1881474385
Name:HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE
Entity type:Organization
Organization Name:HOMETOWN HEALTHCARE FAMILY MEDICINE AND URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:812-844-1049
Mailing Address - Street 1:101 CONNIE AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:IN
Mailing Address - Zip Code:47167-2305
Mailing Address - Country:US
Mailing Address - Phone:812-404-4235
Mailing Address - Fax:812-404-4236
Practice Address - Street 1:101 CONNIE AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:IN
Practice Address - Zip Code:47167-2305
Practice Address - Country:US
Practice Address - Phone:812-404-4235
Practice Address - Fax:812-404-4236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty