Active NPI
Hometown Urgent Care, LLC
- Urgent Care Clinic/Center
- Mustang, OK
National Provider Identifier
1326544875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 4174
- Legal business name
- HOMETOWN URGENT CARE, LLC
- Practice address
- 731 E State Highway 152
Mustang, OK 73064-4520 - Phone
- (405) 324-5566
- Fax
- (405) 324-5628
- NPI assigned
- Apr 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Biorato, DO
- Title
- Physician
- Phone
- (405) 818-7425
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 4174 | OK | Primary |
Addresses
Primary practice location
731 E State Highway 152
Mustang, OK 73064-4520
Mailing address
14936 SW 65TH St
Mustang, OK 73064-9599
Phone (405) 818-7425
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200770810A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2151673 | Hometown Urgent Care | Certificate of waiver | Jul 23, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Mustang, OK
- NPI 1285662890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539907200000",
"number": "1326544875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14936 SW 65TH ST",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730649599",
"telephone_number": "405-818-7425",
"fax_number": "405-324-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 E STATE HIGHWAY 152",
"city": "MUSTANG",
"state": "OK",
"postal_code": "730644520",
"telephone_number": "405-324-5566",
"fax_number": "405-324-5628"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMETOWN URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-03",
"last_updated": "2018-10-19",
"status": "A",
"authorized_official_last_name": "BIORATO",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "405-818-7425",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OK",
"license": "4174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200770810A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mustang, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.