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OPTIMAL HOSPICE INC. NPI 1821166745


NPI Information

NPI: 1821166745
Provider Name: OPTIMAL HOSPICE, INC.

Doing Business As: BRISTOL HOSPICE - STOCKTON

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2800 W MARCH LN STE 110
STOCKTON, CA
ZIP 95219
Phone: (209) 670-8000
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OPTIMAL HOSPICE, INC. is a hospice care community based in Stockton, CA. OPTIMAL HOSPICE, INC. NPI is 1821166745. The provider is registered as an organization entity type.
The provider Is Doing Business As Bristol Hospice - Stockton.

The provider's business location address is:

2800 W MARCH LN STE 110
STOCKTON, CA
ZIP 95219-220
Phone: (209) 670-8000
Fax: (209) 670-8020

The provider's authorized official is Gerry Norman Christensen .
The authorized official title is Executive Vp/cfo and has the following contact phone number (014) 330-9328.

The enumeration date for this NPI number is 11/30/2006 and was last updated on 4/25/2023.


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
1251G00000XHospice Care, Community Based550000173CALIFORNIAYes

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
1HPC01793FMEDICAIDCALIFORNIA

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: 5/5/2024

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