FREMONT REGIONAL HOSPICE NPI 1124234844

NPI Information

NPI: 1124234844
Provider Name: FREMONT REGIONAL HOSPICE
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1439 MAIN ST
CANON CITY, CO
ZIP 81212
Phone: (719) 275-4315
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FREMONT REGIONAL HOSPICE is a hospice care community based in Canon City, CO. FREMONT REGIONAL HOSPICE NPI is 1124234844. The provider is registered as an organization entity type.

The provider's business location address is:

1439 MAIN ST
CANON CITY, CO
ZIP 81212-923
Phone: (719) 275-4315
Fax: (719) 275-8315

The provider's authorized official is Michelle L Quinn .
The authorized official title is Administrator/president and has the following contact phone number (719) 275-4315.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/28/2020.

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		17D459	COLORADO	No
2	251G00000X	Hospice Care, Community Based		1253	COLORADO	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	17D459	MEDICAID	COLORADO

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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