Provider Demographics
NPI:1144805771
Name:PLATTSMOUTH HOMETOWN HEALTH, LLC
Entity Type:Organization
Organization Name:PLATTSMOUTH HOMETOWN HEALTH, LLC
Other - Org Name:PLATTSMOUTH HOMETOWN HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:402-541-5131
Mailing Address - Street 1:306 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:PLATTSMOUTH
Mailing Address - State:NE
Mailing Address - Zip Code:68048-1310
Mailing Address - Country:US
Mailing Address - Phone:402-298-5775
Mailing Address - Fax:402-500-3342
Practice Address - Street 1:306 N 7TH ST
Practice Address - Street 2:
Practice Address - City:PLATTSMOUTH
Practice Address - State:NE
Practice Address - Zip Code:68048-1310
Practice Address - Country:US
Practice Address - Phone:402-298-5775
Practice Address - Fax:402-500-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty