MT HOOD HOSPICE NPI 1093717340

NPI Information

NPI: 1093717340
Provider Name: MT HOOD HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 38D2198485

Address:
39085 PIONEER BLVD STE 1018
SANDY, OR
ZIP 97055
Phone: (503) 668-5545
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MT HOOD HOSPICE is a hospice care community based in Sandy, OR. MT HOOD HOSPICE NPI is 1093717340. The provider is registered as an organization entity type.

The provider's business location address is:

39085 PIONEER BLVD STE 1018
SANDY, OR
ZIP 97055-081
Phone: (503) 668-5545
Fax: (503) 668-7951

The provider's authorized official is Rhonda Christine Franke .
The authorized official title is Executive Director and has the following contact phone number (503) 668-5545.

The CLIA number assigned to this NPI record is 38D2198485 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		1983-001	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	132196	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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