| Hometown Family Health & Wellness, P.a. | |
|
3345 Highway 5 N Ste 300 Bryant AR 72019-9031 | |
| (501) 521-1100 | |
| (501) 621-1233 |
| Full Name | Hometown Family Health & Wellness, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3345 Highway 5 N Ste 300, Bryant, Arkansas |
| Authorized Official Name and Position | Anna Katherine Ross (OWNER/APN) |
| Authorized Official Contact | 5015211100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Health & Wellness, P.a. 3345 Highway 5 N Ste 300 Bryant AR 72019-9031 Ph: (501) 521-1100 | Hometown Family Health & Wellness, P.a. 3345 Highway 5 N Ste 300 Bryant AR 72019-9031 Ph: (501) 521-1100 |
| NPI Number | 1912593617 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 8224436902 |
|---|---|
| Medicare Enrollment ID | O20211011001532 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912593617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Lynn Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063908713 PECOS PAC ID: 3678823309 Enrollment ID: I20180830000728 |
| Provider Name | Anna Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235655531 PECOS PAC ID: 2365700812 Enrollment ID: I20190129000444 |
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