Organization Active NPI

Home Town Clinic, LLC

  • Health Service Clinic/Center
  • Paris, TX
National Provider Identifier
1285010496
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
HOME TOWN CLINIC, LLC
Practice address
2725 NE Loop 286
Paris, TX 75460-3427
Phone
(039) 905-5071
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lola Young
Title
Member
Phone
(903) 905-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2725 NE Loop 286
Paris, TX 75460-3427

Mailing address

3310 Lamar Ave
Suite a
Paris, TX 75460-5024
Phone (903) 905-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160224000179 TX Part B Supplier - Clinic/Group Practice 3476858812 Receives reassigned benefits from 2 practitioners
Practice locations: Paris, TX

National Provider Directory

National Provider Directory

Locations

635 Stone Ave
Paris, TX 75460
Phone (903) 785-3300

2725 NE Loop 286
Paris, TX 75460
Phone (903) 706-5071

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1285010496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 LAMAR AVE",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605024",
            "telephone_number": "903-905-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603427",
            "telephone_number": "039-905-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "903-905-4810"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.