EMERALD FIRST CHOICE HOSPICE LLC NPI 1386958312

NPI Information

NPI: 1386958312
Provider Name: EMERALD FIRST CHOICE HOSPICE LLC

Doing Business As: EMERALD HOSPICE II

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

CLIA Number: 37D2018434

Address:
120 S YORKSHIRE BLVD
WAGONER, OK
ZIP 74467
Phone: (918) 485-0079
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EMERALD FIRST CHOICE HOSPICE LLC is a hospice care community based in Wagoner, OK. EMERALD FIRST CHOICE HOSPICE LLC NPI is 1386958312. The provider is registered as an organization entity type.
The provider Is Doing Business As Emerald Hospice Ii.

The provider's business location address is:

120 S YORKSHIRE BLVD
WAGONER, OK
ZIP 74467
Phone: (918) 485-0079
Fax: (918) 485-0017

The provider's authorized official is Matthew Wilkey .
The authorized official title is Director Of Operations and has the following contact phone number (918) 485-0079.

The CLIA number assigned to this NPI record is 37D2018434 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2010 and was last updated on 2/2/2023.

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				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	200537500A	MEDICAID	OKLAHOMA

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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