ST CROIX HOSPICE LLC NPI 1871840975

NPI Information

NPI: 1871840975
Provider Name: ST CROIX HOSPICE LLC

Doing Business As: ST. CROIX HOSPICE

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

CLIA Number: 16D2045473

Address:
1920 RUE ST STE 3
COUNCIL BLUFFS, IA
ZIP 51503
Phone: (712) 318-2120
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ST CROIX HOSPICE LLC is a hospice care community based in Council Bluffs, IA. ST CROIX HOSPICE LLC NPI is 1871840975. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Croix Hospice.

The provider's business location address is:

1920 RUE ST STE 3
COUNCIL BLUFFS, IA
ZIP 51503-601
Phone: (712) 318-2120
Fax: (712) 396-2008

The provider's authorized official is Heath A. Bartness .
The authorized official title is Ceo and has the following contact phone number (651) 735-3656.

The CLIA number assigned to this NPI record is 16D2045473 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 4/14/2021.

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: 4/28/2024

NPI Synchronization or Removal

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