| Organization Name: | HOMETOWN FAMILY MEDICINE LLC |
| NPI Number: | 1265869176 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINNEA MARIE WILLIAMS (OWNER/ PRESIDENT) |
| Mailing Address: | 6317 Evanston Ave Raytown |
| State: | MO US |
| Postal Code: | 641334929 |
| Phone Number: | 8163533939 |
| Fax Number: | 8163532688 |
| NPI Enumeration Date: | 10/09/2013 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 2008013774 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |