| Hometown Primary Care Llc | |
|
429 S 3rd St Gadsden AL 35901-5210 | |
| (256) 413-6000 | |
| (256) 413-6001 |
| Full Name | Hometown Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 429 S 3rd St, Gadsden, Alabama |
| Authorized Official Name and Position | Allison Gates Vann (OWNER) |
| Authorized Official Contact | 2564136000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Primary Care Llc 429 S 3rd St Gadsden AL 35901-5210 Ph: (256) 413-6000 | Hometown Primary Care Llc 429 S 3rd St Gadsden AL 35901-5210 Ph: (256) 413-6000 |
| NPI Number | 1013671940 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 9436541695 |
|---|---|
| Medicare Enrollment ID | O20220120000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013671940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sathyan V Iyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801878368 PECOS PAC ID: 1355481813 Enrollment ID: I20091215000374 |
| Provider Name | Allison G Vann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144484981 PECOS PAC ID: 7810189149 Enrollment ID: I20101005001111 |
| Provider Name | Maury Paul Minton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598050031 PECOS PAC ID: 4183857766 Enrollment ID: I20140806000691 |
| Provider Name | Rana Hakim Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720499403 PECOS PAC ID: 6800186586 Enrollment ID: I20160608002092 |
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