HOSPICE NPI 1134123011

NPI Information

NPI: 1134123011
Provider Name: HOSPICE

Other Name: HOSPICE OF DAVIS & WAPELLO COUNTIES

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
927 PENNSYLVANIA AVE
OTTUMWA, IA
ZIP 52501
Phone: (641) 682-0684
Get Directions

HOSPICE is a hospice care community based in Ottumwa, IA. HOSPICE NPI is 1134123011. The provider is registered as an organization entity type.
The provider Other Name Is Hospice Of Davis & Wapello Counties.

The provider's business location address is:

927 PENNSYLVANIA AVE
OTTUMWA, IA
ZIP 52501-138
Phone: (641) 682-0684
Fax: (641) 684-9209

The provider's authorized official is Suzanne M Anderson .
The authorized official title is Executive Director and has the following contact phone number (641) 682-0684.

The CLIA number assigned to this NPI record is 16D1022389 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 12/9/2009.

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	315D00000X	Hospice, Inpatient				No
2	251G00000X	Hospice Care, Community Based				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	61513	OTHER	IOWA	WELLMARK BLUE CROSS AND BLUE SHIELD OF IOWA
2	0615138	MEDICAID	IOWA
3	161513	MEDICARE ID-TYPE UNSPECIFIED	IOWA	MEDICARE PROVIDER #

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

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