INTREPID OF SOUTHERN INDIANA INC. NPI 1538426598

NPI Information

NPI: 1538426598
Provider Name: INTREPID OF SOUTHERN INDIANA, INC.

Doing Business As: INTREPID USA HOSPICE

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

CLIA Number: 15D2046057

Address:
2901 OHIO BLVD STE 210-2
TERRE HAUTE, IN
ZIP 47803
Phone: (812) 514-8200
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INTREPID OF SOUTHERN INDIANA, INC. is a hospice care community based in Terre Haute, IN. INTREPID OF SOUTHERN INDIANA, INC. NPI is 1538426598. The provider is registered as an organization entity type.
The provider Is Doing Business As Intrepid Usa Hospice.

The provider's business location address is:

2901 OHIO BLVD STE 210-2
TERRE HAUTE, IN
ZIP 47803-239
Phone: (812) 514-8200
Fax: (812) 514-8302

The provider's authorized official is Robert Parker .
The authorized official title is Cco and has the following contact phone number (214) 445-3750.

The CLIA number assigned to this NPI record is 15D2046057 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 11/9/2022.

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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