Home Town Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HOME TOWN CLINIC

Practice address

101 River Dr
Irvine, KY 40336-1117

Phone

(606) 726-0200

Fax

(606) 726-0226

NPI assigned

Jan 12, 2017

Last updated

Mar 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Joyce Lynn Puckett, APRN

Title

Owner

Phone

(606) 726-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1851837017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361117",
            "telephone_number": "606-726-0200",
            "fax_number": "606-726-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER DR",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403361117",
            "telephone_number": "606-726-0200",
            "fax_number": "606-726-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME TOWN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-726-0200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.