Organization Active NPI

Hometown Family Medicine and Urgent Care

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1942051842
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMETOWN FAMILY MEDICINE AND URGENT CARE
Practice address
2462 E Hill Rd
Grand Blanc, MI 48439-5427
Phone
(810) 569-9514
NPI assigned
Mar 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Steven Galliway, PA-CNPI 1346295094
Title
President
Phone
(810) 569-9514

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2462 E Hill Rd
Grand Blanc, MI 48439-5427

Mailing address

6232 Atlas Valley Dr
Grand Blanc, MI 48439-7804
Phone (810) 569-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240911002884 MI Part B Supplier - Clinic/Group Practice 8729528245 Receives reassigned benefits from 2 practitioners
Practice locations: Grand Blanc, MI

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
23D2305227Hometown Family Medicine and Urgent Care2462 E Hill Road Suite 200, Grand Blanc, MI 48439Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

Locations

2462 E Hill Rd
Ste 2
Grand Blanc, MI 48439
Phone (248) 807-9461

2462 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 569-9514

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": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1942051842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 ATLAS VALLEY DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397804",
            "telephone_number": "810-569-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2462 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395427",
            "telephone_number": "810-569-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICINE AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "GALLIWAY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-569-9514",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.