Organization
HOMETOWN FAMILY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH L. GROSSMAN (PRESIDENT AND CEO)
(859) 226-2492
Entity
Organization
Contact information
Practice address
400 UNIVERSITY DRIVE, SUITE 101A, PRESTONSBURG, KY 41653-1080
(606) 886-3831
(606) 886-3440
Mailing address
100 AIRPORT GARDENS ROAD, HAZARD, KY 41701-7529
(606) 487-7524
(606) 439-6927
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65943508
—
KY
Enumeration date
11/07/2006
Last updated
09/05/2019
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