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Organization
HOMETOWN CONNECT INC
Active
Organization
HOMETOWN CONNECT INC
Active
Other names
Hometown Healthcare of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO LAVELLE BOOKER PHARMD (CHIEF CLINICAL OFFICER)
(502) 599-0264
Entity
Organization
Contact information
Practice address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 789-4663
Mailing address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 937-9008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
NULL
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
02/11/2026
Last updated
06/16/2026
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