HOMETOWN FAMILY MEDICAL CLINIC
NPI 1962024018
Nurse Practitioner - Family in Palestine, AR

Active since May 12, 2020CLIA 04D2190839 · Waiver
411 MAIN ST, PALESTINE, AR 72372(870) 270-6935(949) 655-7844 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, May 12, 2020 (2 updates tracked since 2020).

About Hometown Family Medical Clinic NPPES

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

HOMETOWN FAMILY MEDICAL CLINIC (NPI 1962024018) is a healthcare organization registered as a family in Palestine, Arkansas and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Sandra Elaine Thorne, Owner, as its authorized official.

NPPES Registry Identity

NPI1962024018
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHOMETOWN FAMILY MEDICAL CLINIC, LLC
Location Address411 MAIN STPalestine, AR 72372
Mailing Address411 Main StPalestine, AR 72372 · (870) 270-6935
Fax(949) 655-7844
Organization SubpartNo
Authorized OfficialSandra Elaine ThorneOwner · (870) 270-6935
Enumeration DateMay 12, 2020
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1962024018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
411 MAIN ST, Palestine, AR 72372

Other Names 1

Doing Business AsHometown Family Medical Clinic

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 04D2190839

Hometown Family Medical Clinic · Palestine, AR
Active · expires Aug 18, 2026
CLIA Number04D2190839
Laboratory TypePractitioner Other
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorMelanie Kay Harris
Laboratory Phone(870) 270-6935
Laboratory LocationHometown Family Medical Clinic411 Main St, Palestine, AR 72372
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 Family Medical Clinic, LLC's NPI number?

The NPI number for Hometown Family Medical Clinic, LLC is 1962024018. It was assigned to this organization in the NPPES registry on May 12, 2020. The provider is doing business as Hometown Family Medical Clinic.

Where is Hometown Family Medical Clinic, LLC located?

Hometown Family Medical Clinic, LLC is located at 411 Main St, Palestine, AR 72372. The listed phone number is (870) 270-6935.

What is Hometown Family Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Hometown Family Medical Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2190839) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hometown Family Medical Clinic, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Hometown Family Medical Clinic, LLC 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 Hometown Family Medical Clinic, LLC was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.