# HOMETOWN MEDICAL CLINIC P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548821507
- **Authorized official:** ASHLEY TUPPER CNP-BC (OWNER)
- **Authorized official phone:** (307) 746-8108

## Contact information

- **Practice address:** 219 W MAIN ST, NEWCASTLE, WY 82701-2125
- **Practice address phone:** (307) 746-2182
- **Mailing address:** 219 W MAIN ST, NEWCASTLE, WY 82701-2125
- **Mailing address phone:** (307) 746-2182

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/21/2019
- **Last updated:** 01/16/2024