INTREPID OF EDINA INC. NPI 1669739694

NPI Information

NPI: 1669739694
Provider Name: INTREPID OF EDINA, INC.

Doing Business As: INTREPID USA HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2277 HIGHWAY 36 W STE 316A
ROSEVILLE, MN
ZIP 55113
Phone: (651) 633-6404
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INTREPID OF EDINA, INC. is a hospice care community based in Roseville, MN. INTREPID OF EDINA, INC. NPI is 1669739694. 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:

2277 HIGHWAY 36 W STE 316A
ROSEVILLE, MN
ZIP 55113-804
Phone: (651) 633-6404
Fax: (651) 633-6729

The provider's authorized official is Paul M Mcmullen .
The authorized official title is Chief Operating Officer and has the following contact phone number (214) 445-3750.

The enumeration date for this NPI number is 4/16/2012 and was last updated on 9/30/2020.

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				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: 11/14/2023

NPI Synchronization or Removal

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