| Hometown Family Practice, Llc | |
|
1198 Westwood Dr Ste F Van Wert OH 45891-2478 | |
| (419) 771-1640 | |
| Not Available |
| Full Name | Hometown Family Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1198 Westwood Dr Ste F, Van Wert, Ohio |
| Authorized Official Name and Position | Christine Ulrich (NURSE PRACTITIONER) |
| Authorized Official Contact | 4197711640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Family Practice, Llc 1198 Westwood Dr Ste F Van Wert OH 45891-2478 Ph: (419) 771-1640 | Hometown Family Practice, Llc 1198 Westwood Dr Ste F Van Wert OH 45891-2478 Ph: (419) 771-1640 |
| NPI Number | 1720687007 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 1052722162 |
|---|---|
| Medicare Enrollment ID | O20201120002506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720687007 | NPI | - | NPPES |
| 1619955754 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Christine R Ulrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619955754 PECOS PAC ID: 2264457878 Enrollment ID: I20051013000005 |
| Provider Name | Kayla Marie Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285371195 PECOS PAC ID: 4880078278 Enrollment ID: I20220902001998 |
Van Wert Medical Services - Dme Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 140 Fox Rd, Suite 104, Van Wert, OH 45891 Phone: 419-232-5291 Fax: 419-232-5292 | |
Family Health Care Of Northwest Ohio, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1191 Westwood Dr, Van Wert, OH 45891 Phone: 419-238-6747 Fax: 419-238-3721 | |
Van Wert Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 214 Town Center Blvd, Van Wert, OH 45891 Phone: 419-605-0850 | |
Gastro-intestinal Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 S Washington St, Van Wert, OH 45891 Phone: 419-227-8209 Fax: 419-227-8224 | |
Gastro-intestinal Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Fox Run Road, Suite 105, Van Wert, OH 45891 Phone: 419-227-8209 | |
Van Wert Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1178 Professional Dr, Van Wert, OH 45891 Phone: 419-238-6251 Fax: 419-238-3002 | |
Allcare Health & Healing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1198 Westwood Dr Ste E, Van Wert, OH 45891 Phone: 419-210-1916 |