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HOMETOWN HEALTH CLINIC
NPI 1023611241
Clinic/Center - Rural Health in Mc Kenzie, TN

Active since November 19, 2020CLIA Certified · 6 labs
1894 CEDAR ST, MC KENZIE, TN 38201(731) 352-7907(833) 690-3848 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Apr 5, 2021, Dec 1, 2020 and 2 more (5 updates tracked since 2020).

About Hometown Health Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOMETOWN HEALTH CLINIC (NPI 1023611241) is a healthcare organization registered as a rural health in Mc Kenzie, Tennessee and active in the NPI registry since November 2020. The organization holds 6 active CLIA laboratory certificates and lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1023611241
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCKENZIE MEDICAL CENTER PC
Location Address1894 CEDAR STMc Kenzie, TN 38201-2206
Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (833) 690-3848
Phone(731) 352-7907
Fax(833) 690-3848
Organization SubpartNo
Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907
Enumeration DateNovember 19, 2020
Last NPPES UpdateMay 6, 20245 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1023611241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1894 CEDAR ST, Mc Kenzie, TN 38201
Open in Google Maps ↗

Other Names 1

Doing Business AsHometown Health Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 6

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0315280

Mc Kenzie Medical Center Dba Hometown Health Clinic · Mc Kenzie, TN
Active · expires Feb 15, 2028
CLIA Number44D0315280
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMc Kenzie Medical Center Dba Hometown Health Clinic205A Hospital Drive, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2200889

Mckenzie Medical Center Dba Hometown Health Clinic And Convenient Care · Mc Kenzie, TN
Active · expires Nov 16, 2026
CLIA Number44D2200889
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic And Convenient Care1894 Cedar Street, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D1084883

Bruceton Clinic,the Dba Hometown Health Clinic · Bruceton, TN
Active · expires Jun 4, 2028
CLIA Number44D1084883
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorTerry A. Colotta MD
Laboratory Phone(731) 352-7907
Laboratory LocationBruceton Clinic,the Dba Hometown Health Clinic30810 Broad Street, Bruceton, TN 38317
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2343073

Mckenzie Medical Center Dba Hometown Health Clinic Trenton · Trenton, TN
Active · expires Apr 29, 2028
CLIA Number44D2343073
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorTerry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic Trenton2051 Us Hwy 45 Bypass S, Trenton, TN 38382
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2326332

Mckenzie Medical Center Dba Hometown Health Clinic · Greenfield, TN
Active · expires Jun 30, 2027
CLIA Number44D2326332
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2025
Certificate Expiration DateJune 30, 2027
Laboratory DirectorTerry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center Dba Hometown Health Clinic1731 S Meridian Street, Greenfield, TN 38230
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2160559

Mckenzie Medical Center · Mc Kenzie, TN
Active · expires Jan 13, 2027
CLIA Number44D2160559
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Terry A. Colotta
Laboratory Phone(731) 352-7907
Laboratory LocationMckenzie Medical Center175 Wildcat Lane, Mc Kenzie, TN 38201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VICTORIA BROOKE IVY FNP-C
Nurse Practitioner (Family)
1894 CEDAR ST
MC KENZIE, TN 38201
Carroll County (731) 207-6496
DR. DANIEL DAVID SUMROK M.D.
Psychiatry & Neurology (Addiction Medicine)
1894 CEDAR ST, 1301 PRIMACY PARKWAY
MC KENZIE, TN 38201
Carroll County (731) 352-0603
INTEGRATIVE HEALTH CENTERS OF KENTUCKY LLC
Family Medicine (Addiction Medicine)
1894 CEDAR ST
MC KENZIE, TN 38201
Carroll County (731) 352-0603
DANIEL D SUMROK, MD
Family Medicine
1894 CEDAR ST
MC KENZIE, TN 38201
Carroll County (731) 352-0603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie Medical Center PC's NPI number?

The NPI number for Mckenzie Medical Center PC is 1023611241. It was assigned to this organization in the NPPES registry on November 19, 2020. The provider is doing business as Hometown Health Clinic.

Where is Mckenzie Medical Center PC located?

Mckenzie Medical Center PC is located at 1894 Cedar St, Mc Kenzie, TN 38201. The listed phone number is (731) 352-7907.

What is Mckenzie Medical Center PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mckenzie Medical Center PC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mckenzie Medical Center PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Mckenzie Medical Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenzie Medical Center PC was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.