# HOMETOWN HEALTHCARE PC

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

## Provider details

- **NPI number:** 1558409698
- **Authorized official:** MICHAEL E AINSWORTH MD (SOLE PROPRIETOR)
- **Authorized official phone:** (206) 724-8700

## Contact information

- **Practice address:** 955 HIGH ST, STE 2, DECATUR, IN 46733-2326
- **Practice address phone:** (260) 724-8700
- **Practice address fax:** (260) 728-3821
- **Mailing address:** 955 HIGH ST, STE 2, DECATUR, IN 46733-2326
- **Mailing address phone:** (260) 724-8700
- **Mailing address fax:** (260) 728-3821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01045263A | IN | Yes |
| 363L00000X | Nurse Practitioner | 71001926A | IN | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 11/19/2009