HOMETOWN PRIMARY CARE, PLLC
NPI 1942945910
Clinic/Center in Choctaw, OK

Active since May 03, 2022CLIA 37D2253752 · Waiver
13511 NE 23RD ST STE 140, CHOCTAW, OK 73020(405) 591-3584(405) 337-9596 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hometown Primary Care, Pllc NPPES

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

HOMETOWN PRIMARY CARE, PLLC (NPI 1942945910) is a healthcare organization registered as a clinic/center in Choctaw, Oklahoma and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Candace D Herrin, Member/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1942945910
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHOMETOWN PRIMARY CARE, PLLC
Location Address13511 NE 23RD ST STE 140Choctaw, OK 73020-8625
Mailing Address890 S Sandpiper NestChoctaw, OK 73020-7012 · (405) 625-3873
Fax(405) 337-9596
Organization SubpartNo
Authorized OfficialCandace D HerrinMember/nurse Practitioner · (405) 591-3584
Enumeration DateMay 3, 2022
NPPES CertifiedMay 3, 2022
NPI 1942945910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
13511 NE 23RD ST STE 140, Choctaw, OK 73020

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 37D2253752

Hometown Primary Care · Choctaw, OK
Active · expires Feb 23, 2028
CLIA Number37D2253752
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorCandace Herrin
Laboratory Phone(405) 625-3873
Laboratory LocationHometown Primary Care13511 NE 23rd, Choctaw, OK 73020
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 Hometown Primary Care, PLLC's NPI number?

The NPI number for Hometown Primary Care, PLLC is 1942945910. It was assigned to this organization in the NPPES registry on May 3, 2022.

Where is Hometown Primary Care, PLLC located?

Hometown Primary Care, PLLC is located at 13511 NE 23rd St Ste 140, Choctaw, OK 73020. The listed phone number is (405) 591-3584.

What is Hometown Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Hometown Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2253752) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hometown Primary Care, PLLC was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.