| Hometown Clinic | |
|
22055 Main Street Ste 101 Hyden KY 41749 | |
| (606) 672-7425 | |
| (606) 672-3077 |
| Full Name | Hometown Clinic |
|---|---|
| Speciality | Physician Assistant |
| Location | 22055 Main Street, Hyden, Kentucky |
| Authorized Official Name and Position | Robert C. Hoskins (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6068627000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Clinic Po Box 2158 London KY 40743-2158 Ph: (606) 862-7000 | Hometown Clinic 22055 Main Street Ste 101 Hyden KY 41749 Ph: (606) 672-7425 |
| NPI Number | 1558372771 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 09/11/2025 |
| Medicare PECOS PAC ID | 5395655583 |
|---|---|
| Medicare Enrollment ID | O20030611000005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558372771 | NPI | - | NPPES |
| 35-001742 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 363A00000X | Physician Assistant | () | Primary |
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