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HOMETOWN FAMILY MEDICINE
NPI 1255730446
Clinic/Center - Primary Care in House Springs, MO

Active since August 14, 2014CLIA 26D2083368 · Waiver
4581 GRAVOIS RD, HOUSE SPRINGS, MO 63051(636) 671-9980(636) 671-9981 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hometown Family Medicine NPPES

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

HOMETOWN FAMILY MEDICINE (NPI 1255730446) is a healthcare organization registered as a primary care in House Springs, Missouri and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Renee L Willer, Owner, as its authorized official.

NPPES Registry Identity

NPI1255730446
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLAKE GIRL, INC
Location Address4581 GRAVOIS RDHouse Springs, MO 63051-1374
Mailing Address4581 Gravois RdHouse Springs, MO 63051-1374 · (636) 671-9980 · Fax (636) 671-9981
Phone(636) 671-9980
Fax(636) 671-9981
Organization SubpartNo
Authorized OfficialRenee L WillerOwner · (314) 322-7017
Enumeration DateAugust 14, 2014
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1255730446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · 138512
4581 GRAVOIS RD, House Springs, MO 63051
Open in Google Maps ↗

Other Names 1

Doing Business AsHometown Family Medicine

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 Sunflower Health Plan 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 26D2083368

Hometown Family Medicine · House Springs, MO
Active · expires Sep 3, 2026
CLIA Number26D2083368
Laboratory TypePhysician Office
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorRenee L. Willer
Laboratory Phone(636) 671-9980
Laboratory LocationHometown Family Medicine4581 Gravois Road, House Springs, MO 63051
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 NPPES 4

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

ZACHARY VOSS
Nurse Practitioner (Family)
4581 GRAVOIS RD
HOUSE SPRINGS, MO 63051
Jefferson County (636) 671-9980
MRS. RENEE L WILLER APRN
Nurse Practitioner (Family)
4581 GRAVOIS RD
HOUSE SPRINGS, MO 63051
Jefferson County (636) 671-9980
ALMIRON CLINIC, INC.
Family Medicine
4581 GRAVOIS RD
HOUSE SPRINGS, MO 63051
Jefferson County (636) 671-3462
DR. OSIAS A ALMIRON MD
Family Medicine
4581 GRAVOIS RD
HOUSE SPRINGS, MO 63051
Jefferson County (636) 671-3462

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 Lake Girl, Inc's NPI number?

The NPI number for Lake Girl, Inc is 1255730446. It was assigned to this organization in the NPPES registry on August 14, 2014. The provider is doing business as Hometown Family Medicine.

Where is Lake Girl, Inc located?

Lake Girl, Inc is located at 4581 Gravois Rd, House Springs, MO 63051. The listed phone number is (636) 671-9980.

What is Lake Girl, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Lake Girl, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2083368) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Girl, Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Lake Girl, Inc 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 Lake Girl, Inc was last updated on December 21, 2023. 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.