PREFERRED HOSPICE OF MISSOURI LLC NPI 1548296304

NPI Information

NPI: 1548296304
Provider Name: PREFERRED HOSPICE OF MISSOURI LLC

Doing Business As: PREFERRED HOSPICE

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

Address:
423 BUSINESS HIGHWAY 60 WEST
DEXTER, MO
ZIP 63841
Phone: (573) 614-4774
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PREFERRED HOSPICE OF MISSOURI LLC is a hospice care community based in Dexter, MO. PREFERRED HOSPICE OF MISSOURI LLC NPI is 1548296304. The provider is registered as an organization entity type.
The provider Is Doing Business As Preferred Hospice.

The provider's business location address is:

423 BUSINESS HIGHWAY 60 WEST
DEXTER, MO
ZIP 63841-121
Phone: (573) 614-4774
Fax: (573) 614-4775

The provider's authorized official is James C Lincoln .
The authorized official title is Member and has the following contact phone number (573) 481-9625.

The CLIA number assigned to this NPI record is 26D1031639 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 1/5/2011.

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		139-HO	MISSOURI	No
2	251G00000X	Hospice Care, Community Based		139-3HO	MISSOURI	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	200884	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
2	826195208	MEDICAID	MISSOURI
3	261603	MEDICARE OSCAR/CERTIFICATION
4	1548296304	MEDICAID	MISSOURI

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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