HOMETOWN HEALTH CLINIC
NPI 1245401231
Clinic/Center - Rural Health in Bruceton, TN
NPI Status: Active since March 18, 2008
Contact Information
30810 BROAD ST
BRUCETON, TN
ZIP 38317
Phone: (731) 586-4800
Fax: (833) 690-3848
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 44D0315280
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-15-2026
About HOMETOWN HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Hometown Health Clinic, a primary care provider established in Bruceton, Tennessee operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1245401231 assigned on March 2008. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated one year ago. Hometown Health Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Hometown Health Clinic. The authorized official of this NPI record is Tammy Etheridge (Chief Operating Officer)
- NPI
- 1245401231
- Provider Legal Name
- MCKENZIE MEDICAL CENTER PC
- Other Organization Name
- HOMETOWN HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 30810 BROAD ST BRUCETON, TN 38317
- Location Phone
- (731) 586-4800
- Location Fax
- (833) 690-3848
- Mailing Address
- 205A HOSPITAL DR MC KENZIE, TN 38201
- Mailing Phone
- (731) 352-7907
- Mailing Fax
- (833) 690-3848
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-18-2008
- Last Update Date
- 05-06-2024
- Code Navigator
A primary care provider (PCP) like Hometown Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | ODT1599 (TN) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | MD23833 (TN) |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 4 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 7500 Indiv Med Deductible - EPO
- Connect Bronze 8500 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Silver 2875 Indiv Med Deductible - EPO
- Connect Silver 3825 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3380640 | OTHER (01) | TN | MEDICARE GROUP |
| 3380640 | OTHER (01) | TN | MEDICAID GROUP |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D0315280
- Facility Type
- Physician Office
- Certificate Effective Date
- February 16, 2024
- Certificate Expiration Date
- February 15, 2026
- Laboratory Director
- DR. TERRY A. COLOTTA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hometown Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for HOMETOWN HEALTH CLINIC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 4 | 0 | 1 | 2 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 8 | 0 | 2 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 8 + 0 + 2 + 2 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1245401231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245401231, enumerated in the NPI registry as an "organization" on March 18, 2008
The provider is located at 30810 Broad St Bruceton, Tn 38317 and the phone number is (731) 586-4800
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Cigna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 44D0315280 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 18, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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