HOSPICE OF NORTH CENTRAL OKLAHOMA INC NPI 1043201890

NPI Information

NPI: 1043201890
Provider Name: HOSPICE OF NORTH CENTRAL OKLAHOMA, INC

Former Legal Business Name: HOSPICE OF PONCA CITY, INC.

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

Address:
445 FAIRVIEW AVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 762-9102
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HOSPICE OF NORTH CENTRAL OKLAHOMA, INC is a hospice care community based in Ponca City, OK. HOSPICE OF NORTH CENTRAL OKLAHOMA, INC NPI is 1043201890. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hospice Of Ponca City, Inc..

The provider's business location address is:

445 FAIRVIEW AVE
PONCA CITY, OK
ZIP 74601-931
Phone: (580) 762-9102
Fax: (580) 765-3653

The provider's authorized official is Wendy Stobbe .
The authorized official title is Chief Executive Officer and has the following contact phone number (580) 762-9102.

The CLIA number assigned to this NPI record is 37D0858863 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2005 and was last updated on 5/7/2020.

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		4003	OKLAHOMA	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: 5/5/2024

NPI Synchronization or Removal

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