Provider Demographics
NPI:1093900144
Name:HOMETOWN HEALTHCARE AND WELLNESS CENTER, INC.
Entity Type:Organization
Organization Name:HOMETOWN HEALTHCARE AND WELLNESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:417-926-2661
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:MO
Mailing Address - Zip Code:65483-0045
Mailing Address - Country:US
Mailing Address - Phone:417-967-0537
Mailing Address - Fax:417-967-0542
Practice Address - Street 1:107 E PINE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:MO
Practice Address - Zip Code:65483-1240
Practice Address - Country:US
Practice Address - Phone:417-967-0537
Practice Address - Fax:417-967-0542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care