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SOUTHERNCARE INC NPI 1689890642


NPI Information

NPI: 1689890642
Provider Name: SOUTHERNCARE, INC

Doing Business As: SOUTHERNCARE CEDAR RAPIDS

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
5005 BOWLING ST SW
STE 3
CEDAR RAPIDS, IA
ZIP 52404
Phone: (319) 364-2204
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SOUTHERNCARE, INC is a hospice care community based in Cedar Rapids, IA. SOUTHERNCARE, INC NPI is 1689890642. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Cedar Rapids.

The provider's business location address is:

5005 BOWLING ST SW
STE 3
CEDAR RAPIDS, IA
ZIP 52404-070
Phone: (319) 364-2204
Fax: (319) 364-4933

The provider's authorized official is Michael J. Pardy .
The authorized official title is President and has the following contact phone number (205) 655-4809.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedIOWAYes

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

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