Hometown Family Medical Clinic, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

HOMETOWN FAMILY MEDICAL CLINIC, LLC

Doing business as

Hometown Family Medical Clinic

Practice address

411 Main St
Palestine, AR 72372

Phone

(870) 270-6935

Fax

(949) 655-7844

NPI assigned

May 12, 2020

Last updated

Sep 9, 2020By 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

Sandra Elaine Thorne, FNP-CNPI 1578101655

Title

Owner

Phone

(870) 270-6935

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Elaine Thorne

  • Family Nurse Practitioner
  • Palestine, AR
  • NPI 1578101655
  Medicare reassignment NPD Authorized official
• Tiffanie Goff, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Palestine, AR
  • NPI 1467968958
  NPD

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1962024018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "PALESTINE",
            "state": "AR",
            "postal_code": "72372",
            "telephone_number": "870-270-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "PALESTINE",
            "state": "AR",
            "postal_code": "72372",
            "telephone_number": "870-270-6935",
            "fax_number": "949-655-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN FAMILY MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "THORNE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-270-6935",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hometown Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Collins, SLP
• Natalie Colvin
• Brent Flowers, PHARM.D.
• Tiffanie Goff, MSN, APRN, FNP-C
• Jessica Mitchell, PHARM.D
• Palestine Family Pharmacy LLC
• Palestine Wheatley School District
• Palestine Wheatley School District
• Rosa Taylor

• Family Nurse Practitioner in Palestine, AR
• Providers in Palestine, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.