HOSPICE OF WICHITA FALLS INC. NPI 1770583254

NPI Information

NPI: 1770583254
Provider Name: HOSPICE OF WICHITA FALLS, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D0684440

Address:
4909 JOHNSON RD
WICHITA FALLS, TX
ZIP 76310
Phone: (940) 691-0982
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HOSPICE OF WICHITA FALLS, INC. is a hospice care community based in Wichita Falls, TX. HOSPICE OF WICHITA FALLS, INC. NPI is 1770583254. The provider is registered as an organization entity type.

The provider's business location address is:

4909 JOHNSON RD
WICHITA FALLS, TX
ZIP 76310-547
Phone: (940) 691-0982
Fax: (940) 691-1608

The provider's authorized official is Jan Marie Banta .
The authorized official title is Ceo and has the following contact phone number (940) 691-0982.

The CLIA number assigned to this NPI record is 45D0684440 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2005 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		001947	TEXAS	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: 5/5/2024

NPI Synchronization or Removal

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