Organization Active NPI

Hometown Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Mustang, OK
National Provider Identifier
1326544875
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
4174 Issued in OK
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

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Rebecca Biorato, DONPI 1285662890
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200770810AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405002278 OK Part B Supplier - Clinic/Group Practice 6305199233 Receives reassigned benefits from 1 practitioner
Practice locations: Mustang, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2151673Hometown Urgent Care731 East State Highway 152, Mustang, OK 73064Certificate of waiverJul 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.