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ODYSSEY HEALTHCARE OPERATING A LP NPI 1467620609


NPI Information

NPI: 1467620609
Provider Name: ODYSSEY HEALTHCARE OPERATING A LP

Doing Business As: GENTIVA

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
698 12TH ST SE STE 230
SALEM, OR
ZIP 97301
Phone: (503) 315-1003
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ODYSSEY HEALTHCARE OPERATING A LP is a hospice care community based in Salem, OR. ODYSSEY HEALTHCARE OPERATING A LP NPI is 1467620609. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

698 12TH ST SE STE 230
SALEM, OR
ZIP 97301-010
Phone: (503) 315-1003

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 1/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500618086MEDICAIDOREGON

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

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