FALCON SOUTH PLAINS HOSPICE LP NPI 1811238025

NPI Information

NPI: 1811238025
Provider Name: FALCON SOUTH PLAINS HOSPICE LP

Doing Business As: INTERIM HOSPICE

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

Address:
2300 N MAIN ST STE 19A
CLOVIS, NM
ZIP 88101
Phone: (575) 763-9728
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FALCON SOUTH PLAINS HOSPICE LP is a hospice care community based in Clovis, NM. FALCON SOUTH PLAINS HOSPICE LP NPI is 1811238025. The provider is registered as an organization entity type.
The provider Is Doing Business As Interim Hospice.

The provider's business location address is:

2300 N MAIN ST STE 19A
CLOVIS, NM
ZIP 88101-575
Phone: (575) 763-9728
Fax: (575) 762-2611

The provider's authorized official is Shelly Lynn Marker .
The authorized official title is President/ceo and has the following contact phone number (806) 771-0995.

The CLIA number assigned to this NPI record is 32D2301301 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 3/27/2024.

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		3432	NEW MEXICO	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	32D2186469	OTHER	NEW MEXICO	CLIA
2	3432	OTHER	NEW MEXICO	STATE OPERATING LICENSE
3	60881259	MEDICAID	NEW MEXICO

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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