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PRUITTHEALTH HOSPICE INC. NPI 1003853516


NPI Information

NPI: 1003853516
Provider Name: PRUITTHEALTH HOSPICE, INC.

Doing Business As: PRUITTHEALTH HOSPICE - ROCKY MOUNT

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

CLIA Number: 34D1046717

Address:
301 S CHURCH ST STE 135
ROCKY MOUNT, NC
ZIP 27804
Phone: (252) 442-9126
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PRUITTHEALTH HOSPICE, INC. is a hospice care community based in Rocky Mount, NC. PRUITTHEALTH HOSPICE, INC. NPI is 1003853516. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pruitthealth Hospice - Rocky Mount.

The provider's business location address is:

301 S CHURCH ST STE 135
ROCKY MOUNT, NC
ZIP 27804-721
Phone: (252) 442-9126
Fax: (252) 442-9580

The provider's authorized official is Neil L Pruitt .
The authorized official title is Chairman And Ceo and has the following contact phone number (770) 279-6200.

The CLIA number assigned to this NPI record is 34D1046717 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/15/2021.


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
1207RH0002XInternal MedicineHospice and Palliative MedicineNo
2251G00000XHospice Care, Community BasedYes

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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