HOMETOWN HEALTH CLINIC
NPI 1609101534
Clinic/Center - Rural Health in Dresden, TN

Active since October 09, 2009CLIA 44D2001312 · Waiver
811 MORROW ST STE 207, DRESDEN, TN 38225(731) 364-4900(833) 690-3848 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 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 1609101534) is a healthcare organization registered as a rural health in Dresden, Tennessee and active in the NPI registry since October 2009. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Tammy Etheridge, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1609101534
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMCKENZIE MEDICAL CENTER, PC
Location Address811 MORROW ST STE 207Dresden, TN 38225-1847
Mailing Address205a Hospital DrMc Kenzie, TN 38201-1649 · (731) 352-7907 · Fax (731) 352-4459
Fax(833) 690-3848
Organization SubpartNo
Authorized OfficialTammy EtheridgeChief Operating Officer · (731) 352-7907
Enumeration DateOctober 9, 2009
Last NPPES UpdateMay 6, 20244 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1609101534 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 ListedClinic/CenterTaxonomy 261Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA1262 (TN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APN14751 (TN)
811 MORROW ST STE 207, Dresden, TN 38225

Other Names 1

Doing Business AsHometown Health Clinic

Other Identifiers 3

Other3380640TN · Group Medicare Number
MedicaidQ018764TN
Other3380640TN · Group Medicaid Number

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

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 44D2001312

Dresden Specialty Clinic Dba Hometown Health Clinic · Dresden, TN
Active · expires Dec 15, 2027
CLIA Number44D2001312
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorTerry A. Colotta
Laboratory Phone(731) 364-4900
Laboratory LocationDresden Specialty Clinic Dba Hometown Health Clinic811 Morrow Street, Dresden, TN 38225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1609101534. It was assigned to this organization in the NPPES registry on October 9, 2009. The provider is doing business as Hometown Health Clinic.

Where is Mckenzie Medical Center, PC located?

Mckenzie Medical Center, PC is located at 811 Morrow St Ste 207, Dresden, TN 38225. The listed phone number is (731) 364-4900.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2001312) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 1 other insurer 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.