| Hometown Family Health | |
|
103 E Broadway Ave Montesano WA 98563-3703 | |
| (360) 249-8528 | |
| (888) 990-3893 |
| Full Name | Hometown Family Health |
|---|---|
| Speciality | Family Medicine |
| Location | 103 E Broadway Ave, Montesano, Washington |
| Authorized Official Name and Position | Laura Raykowski (SOLE PROPRIETOR) |
| Authorized Official Contact | 3602498528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Health 103 E Broadway Ave Montesano WA 98563-3703 Ph: (360) 249-8528 | Hometown Family Health 103 E Broadway Ave Montesano WA 98563-3703 Ph: (360) 249-8528 |
| NPI Number | 1326473497 |
|---|---|
| Provider Enumeration Date | 09/09/2013 |
| Last Update Date | 04/04/2023 |
| Medicare PECOS PAC ID | 4486884582 |
|---|---|
| Medicare Enrollment ID | O20140312000993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326473497 | NPI | - | NPPES |
| Provider Name | Laura K Raykowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407924566 PECOS PAC ID: 2466407531 Enrollment ID: I20050322000517 |
| Provider Name | Sherry I Ainsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720631260 PECOS PAC ID: 8820420102 Enrollment ID: I20191107003378 |
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