Provider Demographics
NPI:1114720554
Name:HOMETOWN FAMILY MEDICAL CENTERS, PLLC
Entity type:Organization
Organization Name:HOMETOWN FAMILY MEDICAL CENTERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:231-571-6757
Mailing Address - Street 1:8379 S MASON DR
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9140
Mailing Address - Country:US
Mailing Address - Phone:231-402-5000
Mailing Address - Fax:231-769-2014
Practice Address - Street 1:8379 S MASON DR
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-9140
Practice Address - Country:US
Practice Address - Phone:231-402-5000
Practice Address - Fax:231-769-2014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health