NPIMap

Organization Active NPI

Hometown Urgent Care

  • Urgent Care Clinic/Center
  • Harlan, KY
National Provider Identifier
1730795261
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HOMETOWN URGENT CARE
Practice address
1540 South U.S. Hwy 421 by-Pass
Harlan, KY 40831
Phone
(606) 573-9939
Fax
(606) 573-9940
NPI assigned
Sep 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Patricia Coldiron, NP
Title
Owner
Phone
(606) 273-1251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1540 South U.S. Hwy 421 by-Pass
Harlan, KY 40831

Mailing address

1540 S US Highway 421
Harlan, KY 40831-2501
Phone (606) 573-9939

Other identifiers 1

IdentifierTypeStateIssuer
7100705870MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hometownucc@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026000927 KY Part B Supplier - Clinic/Group Practice 5294155503 Receives reassigned benefits from 7 practitioners
Practice locations: Harlan, KY

National Provider Directory

National Provider Directory

Locations

1540 S US Highway 421
Ste A
Harlan, KY 40831

Practitioners & affiliated clinicians

Practitioners 7

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1730795261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 S US HIGHWAY 421",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "408312501",
            "telephone_number": "606-573-9939",
            "fax_number": "606-573-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SOUTH U.S. HWY 421 BY-PASS",
            "city": "HARLAN",
            "state": "KY",
            "postal_code": "40831",
            "telephone_number": "606-573-9939",
            "fax_number": "606-573-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-12-16",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "COLDIRON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-273-1251",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100705870",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hometownucc@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1540 South U.S. Hwy 421 By-Pass",
            "city": "Harlan",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harlan, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.