COPPER BASIN HEALTHCARE INC. NPI 1245778323

NPI Information

NPI: 1245778323
Provider Name: COPPER BASIN HEALTHCARE, INC.

Doing Business As: THE PINES HOSPICE

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

Address:
6719 E 2ND ST STE A
PRESCOTT VALLEY, AZ
ZIP 86314
Phone: (928) 632-0111
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COPPER BASIN HEALTHCARE, INC. is a hospice care community based in Prescott Valley, AZ. COPPER BASIN HEALTHCARE, INC. NPI is 1245778323. The provider is registered as an organization entity type.
The provider Is Doing Business As The Pines Hospice.

The provider's business location address is:

6719 E 2ND ST STE A
PRESCOTT VALLEY, AZ
ZIP 86314-661
Phone: (928) 632-0111
Fax: (928) 632-0333

The provider's authorized official is Lee Johnson .
The authorized official title is Treasurer and has the following contact phone number (208) 401-1369.

The CLIA number assigned to this NPI record is 03D2132161 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 3/9/2023.

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

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: 4/28/2024

NPI Synchronization or Removal

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