CHATTAHOOCHEE HOSPICE INC NPI 1760454631

NPI Information

NPI: 1760454631
Provider Name: CHATTAHOOCHEE HOSPICE INC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 01D0718924

Address:
6 MEDICAL PARK NORTH
VALLEY, AL
ZIP 36854
Phone: (334) 756-8043
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CHATTAHOOCHEE HOSPICE INC is a hospice care community based in Valley, AL. CHATTAHOOCHEE HOSPICE INC NPI is 1760454631. The provider is registered as an organization entity type.

The provider's business location address is:

6 MEDICAL PARK NORTH
VALLEY, AL
ZIP 36854
Phone: (334) 756-8043
Fax: (334) 756-8059

The provider's authorized official is Kaye C Maxwell .
The authorized official title is Administrator and has the following contact phone number (334) 756-8043.

The CLIA number assigned to this NPI record is 01D0718924 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		000-107H	GEORGIA	No
2	251G00000X	Hospice Care, Community Based		10193	ALABAMA	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	PIC1524E	MEDICAID	ALABAMA
2	010484	OTHER	ALABAMA	BC/BS OF AL

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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