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HOMETOWN FREEDOM HEALTHCARE, LLC
NPI 1093447021
Family Medicine in Riverton, WY

Active since June 28, 2022CLIA Certified · 2 labs
103 N 5TH ST E, RIVERTON, WY 82501(307) 463-0541(307) 463-0494 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Hometown Freedom Healthcare, Llc NPPES

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

HOMETOWN FREEDOM HEALTHCARE, LLC (NPI 1093447021) is a healthcare organization registered as a family medicine in Riverton, Wyoming and active in the NPI registry since June 2022. The organization holds 2 active CLIA laboratory certificates and lists Enedina Vasco, Employee, Owner, as its authorized official.

NPPES Registry Identity

NPI1093447021
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOMETOWN FREEDOM HEALTHCARE, LLC
Location Address103 N 5TH ST ERiverton, WY 82501-4402
Mailing Address705 E Washington AveRiverton, WY 82501-4452 · (307) 463-0541 · Fax (307) 463-0494
Phone(307) 463-0541
Fax(307) 463-0494
Organization SubpartNo
Authorized OfficialEnedina VascoEmployee, Owner · (307) 463-0541
Enumeration DateJune 28, 2022
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1093447021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
103 N 5TH ST E, Riverton, WY 82501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 53D2258246

Hometown Freedom Healthcare LLC · Riverton, WY
Active · expires Apr 18, 2028
CLIA Number53D2258246
Laboratory TypeCommunity Clinic
Certificate Effective DateApril 19, 2026
Certificate Expiration DateApril 18, 2028
Laboratory DirectorTara Blumenshine
Laboratory Phone(307) 438-0541
Laboratory LocationHometown Freedom Healthcare LLC705 E Washington Avenue, Riverton, WY 82501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2325240

Hometown Freedom Healthcare · Warroad, MN
Active · expires Jun 9, 2027
CLIA Number24D2325240
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 10, 2025
Certificate Expiration DateJune 9, 2027
Laboratory DirectorEnedina Vasco
Laboratory Phone(307) 463-0541
Laboratory LocationHometown Freedom Healthcare315 Lake Street NE, Warroad, MN 56763
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.

SILVER SAGE PSYCHIATRY
Nurse Practitioner (Psychiatric/Mental Health)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 288-2328
MARY JO JEFFRES PH.D.
Psychologist (Clinical)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0890
MS. SUSAN DIANNE JOHNSON LCSW
Social Worker (Clinical)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0890
MARY JO JEFFRES PHD, LLC
Psychologist (Clinical)
103 N 5TH ST E
RIVERTON, WY 82501
Fremont County (307) 463-0890

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 Hometown Freedom Healthcare, LLC's NPI number?

The NPI number for Hometown Freedom Healthcare, LLC is 1093447021. It was assigned to this organization in the NPPES registry on June 28, 2022.

Where is Hometown Freedom Healthcare, LLC located?

Hometown Freedom Healthcare, LLC is located at 103 N 5th St E, Riverton, WY 82501. The listed phone number is (307) 463-0541.

What is Hometown Freedom Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hometown Freedom Healthcare, LLC hold CLIA laboratory certificates?

Yes. 2 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 Hometown Freedom Healthcare, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming list Hometown Freedom Healthcare, LLC 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 Hometown Freedom Healthcare, LLC was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.