INTREPID OF MISSOURI INC. NPI 1245597285

NPI Information

INTREPID OF MISSOURI, INC. is a hospice care community based in Springfield, MO. INTREPID OF MISSOURI, INC. NPI is 1245597285. The provider is registered as an organization entity type.
The provider Is Doing Business As Intrepid Usa Hospice.

The provider's business location address is:

4311 S NATIONAL AVE
SPRINGFIELD, MO
ZIP 65810-607
Phone: (417) 882-0614
Fax: (417) 823-3071

The provider's authorized official is John M Kunysz .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 445-3750.

The CLIA number assigned to this NPI record is 26D2175274 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 11/9/2022.

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:

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