HOSPICE OF DUBUQUE NPI 1801890892

NPI Information

NPI: 1801890892
Provider Name: HOSPICE OF DUBUQUE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 16D0907433

Address:
1670 JOHN F KENNEDY RD
DUBUQUE, IA
ZIP 52002
Phone: (563) 582-1220
Get Directions

HOSPICE OF DUBUQUE is a hospice care community based in Dubuque, IA. HOSPICE OF DUBUQUE NPI is 1801890892. The provider is registered as an organization entity type.

The provider's business location address is:

1670 JOHN F KENNEDY RD
DUBUQUE, IA
ZIP 52002-106
Phone: (563) 582-1220
Fax: (563) 582-8089

The provider's authorized official is Lavonne Noel .
The authorized official title is Executive Director and has the following contact phone number (563) 582-1220.

The CLIA number assigned to this NPI record is 16D0907433 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 5/3/2011.

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	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based	2001618	ILLINOIS	No
2	251G00000X	Hospice Care, Community Based	562	WISCONSIN	No
3	251G00000X	Hospice Care, Community Based		IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	161514	MEDICARE ID-TYPE UNSPECIFIED
2	43187800	MEDICAID	WISCONSIN
3	=========001	OTHER	IOWA	SELF INSURED SERVICES CO.
4	=========01	OTHER	IOWA	JOHN DEERE HEALTH CARE
5	=========001	MEDICAID	ILLINOIS
6	61514	OTHER	IOWA	WELLMARK BCBS OF IOWA
7	0615146	MEDICAID	IOWA
8	3000738	OTHER	IOWA	MEDICAL ASSOCIATES HEALTH

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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