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GOOD SAMARITAN HOSPICE OF MADISON INC. NPI 1639202435


NPI Information

NPI: 1639202435
Provider Name: GOOD SAMARITAN HOSPICE OF MADISON INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D1036754

Address:
540 HUGHES RD
SUITE 12
MADISON, AL
ZIP 35758
Phone: (256) 767-4799
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GOOD SAMARITAN HOSPICE OF MADISON INC. is a hospice care community based in Madison, AL. GOOD SAMARITAN HOSPICE OF MADISON INC. NPI is 1639202435. The provider is registered as an organization entity type.

The provider's business location address is:

540 HUGHES RD
SUITE 12
MADISON, AL
ZIP 35758-999
Phone: (256) 767-4799
Fax: (256) 767-4798

The provider's authorized official is Rick Cantrell .
The authorized official title is Ceo and has the following contact phone number (205) 949-0400.

The CLIA number assigned to this NPI record is 01D1036754 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 3/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based78274ALABAMAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.