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HOMETOWN HEALTH CLINIC
NPI 1225083991
Clinic/Center - Rural Health in Gleason, TN

Active since May 23, 2006CLIA 44D0873445 · Waiver
105 N CEDAR ST, GLEASON, TN 38229(731) 648-5634(833) 690-3848 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 6, 2024, Apr 5, 2021, Mar 19, 2020 and 1 more (4 updates tracked since 2019).

About Hometown Health Clinic NPPES

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

HOMETOWN HEALTH CLINIC (NPI 1225083991) is a healthcare organization registered as a rural health in Gleason, Tennessee and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through July 22, 2027 and lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1225083991
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCKENZIE MEDICAL CENTER, PC
Location Address105 N CEDAR STGleason, TN 38229-7264
Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (833) 690-3848
Phone(731) 648-5634
Fax(833) 690-3848
Organization SubpartNo
Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907
Enumeration DateMay 23, 2006
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1225083991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedOptometristTaxonomy 152W00000X · License ODT1599 (TN)
Also ListedFamily MedicineTaxonomy 207Q00000X · License MD23833 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License APN15541 (TN)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN15541 (TN)
105 N CEDAR ST, Gleason, TN 38229
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Other Names 1

Doing Business AsHometown Health Clinic

Other Identifiers 3

Medicaid3730458TN
Other3380640TN · Group Medicaid
Other3380640TN · Medicare Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

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 44D0873445

Gleason Clinic, The Dba Hometown Health Clinic · Gleason, TN
Active · expires Jul 22, 2027
CLIA Number44D0873445
Laboratory TypeOther
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorTerry Colotta
Laboratory Phone(731) 648-5634
Laboratory LocationGleason Clinic, The Dba Hometown Health Clinic105 North Cedar Street, Gleason, TN 38229
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

CLAYTON JAMES KING PA-C
Physician Assistant
105 N CEDAR ST
GLEASON, TN 38229
Weakley County (731) 648-5634
TANYA LYNN JACKSON FNP-BC
Nurse Practitioner (Family)
105 N CEDAR ST
GLEASON, TN 38229
Weakley County (731) 648-5634

Frequently Asked Questions

What is MCKENZIE MEDICAL CENTER, PC's NPI number?

The NPI number assigned to this healthcare provider is 1225083991, enumerated as an "organization" on May 23, 2006.

Where is the provider located?

The provider is located at 105 N CEDAR ST GLEASON, TN 38229 and the phone number is (731) 648-5634.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does MCKENZIE MEDICAL CENTER, PC accept?

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.