HOMETOWN WELLNESS PLLC
NPI 1285229856
Family Medicine in Colorado City, AZ

Active since March 05, 2021CLIA 46D2216420 · Waiver
45 S REDWOOD ST # 750, COLORADO CITY, AZ 86021(928) 377-0629 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hometown Wellness Pllc NPPES

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

HOMETOWN WELLNESS PLLC (NPI 1285229856) is a healthcare organization registered as a family medicine in Colorado City, Arizona and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Theil L Cooke, Owner, as its authorized official.

NPPES Registry Identity

NPI1285229856
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOMETOWN WELLNESS PLLC
Location Address45 S REDWOOD ST # 750Colorado City, AZ 86021-6322
Mailing AddressPo Box 750Colorado City, AZ 86021-0750 · (928) 377-0629
Organization SubpartNo
Authorized OfficialTheil L CookeOwner · (928) 377-0629
Enumeration DateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
NPI 1285229856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

45 S REDWOOD ST # 750, Colorado City, AZ 86021

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
46D2216420
Facility Type
Community Clinic
Certificate Effective Date
March 12, 2025
Certificate Expiration Date
March 11, 2027
Laboratory Director
THEIL COOKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hometown Wellness Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285229856, enumerated as an "organization" on March 05, 2021.

The provider is located at 45 S REDWOOD ST # 750 COLORADO CITY, AZ 86021 and the phone number is (928) 377-0629.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Molina. Please consult your insurance carrier or call the provider to verify.