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CEDAR VALLEY HOSPICE INC. NPI 1730304619


NPI Information

NPI: 1730304619
Provider Name: CEDAR VALLEY HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 16D0915052

Address:
900 TOWER PARK DR
WATERLOO, IA
ZIP 50701
Phone: (319) 272-2002
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CEDAR VALLEY HOSPICE, INC. is a hospice care community based in Waterloo, IA. CEDAR VALLEY HOSPICE, INC. NPI is 1730304619. The provider is registered as an organization entity type.

The provider's business location address is:

900 TOWER PARK DR
WATERLOO, IA
ZIP 50701-098
Phone: (319) 272-2002
Fax: (319) 272-2071

The provider's authorized official is Michaela C Vandersee .
The authorized official title is Director Of Finance and has the following contact phone number (319) 272-2002.

The CLIA number assigned to this NPI record is 16D0915052 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 4/11/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community Based1504IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10615047MEDICAIDIOWA
261504OTHERIOWAWELLMARK BC BS OF IOWA

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

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