THREE RIVERS HOSPICE INC NPI 1912174327

NPI Information

  • NPI: 1912174327
  • Provider Name: THREE RIVERS HOSPICE INC
  • Classification: Hospice Care, Community Based - 251G00000X
  • Entity Type: Organization
  • Doing Business As: THREE RIVERS HOSPICE WEST
  • CLIA Number: 26D1103242
  • Address: 631 N SPRING PARK BLVD
    MT VERNON, MO
    ZIP 65712
  • Phone: (417) 461-0580

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NPI Details

THREE RIVERS HOSPICE INC is a hospice care community based in Mt Vernon, MO. THREE RIVERS HOSPICE INC NPI is 1912174327. The provider is registered as an organization entity type.
The provider Is Doing Business As Three Rivers Hospice West.

The provider's business location address is:

631 N SPRING PARK BLVD
MT VERNON, MO
ZIP 65712
Phone: (417) 461-0580
Fax: (417) 461-0583

The provider's authorized official is Clifton L Shirrell .
The authorized official title is Vice President and has the following contact phone number (573) 471-1276.

The CLIA number assigned to this NPI record is 26D1103242 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2008 and was last updated on 5/17/2018.

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
1251G00000XHospice Care, Community Based198-6HOMISSOURIYes

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: 3/30/2025

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