HOSPICE OF NORTHEAST OKLAHOMA LLC NPI 1780738484

NPI Information

NPI: 1780738484
Provider Name: HOSPICE OF NORTHEAST OKLAHOMA, LLC

Doing Business As: RIVERCROSS HOSPICE

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

Address:
9920 E 42ND ST
SUITE 201
TULSA, OK
ZIP 74146
Phone: (918) 622-9281
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HOSPICE OF NORTHEAST OKLAHOMA, LLC is a hospice care community based in Tulsa, OK. HOSPICE OF NORTHEAST OKLAHOMA, LLC NPI is 1780738484. The provider is registered as an organization entity type.
The provider Is Doing Business As Rivercross Hospice.

The provider's business location address is:

9920 E 42ND ST
SUITE 201
TULSA, OK
ZIP 74146-651
Phone: (918) 622-9281

The provider's authorized official is Mark C Rowe .
The authorized official title is Ceo/president and has the following contact phone number (918) 622-9281.

The CLIA number assigned to this NPI record is 17D1100449 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 4/15/2021.

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: 11/14/2023

NPI Synchronization or Removal

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