MEDICARE: XL HOSPICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW1449	OR
2	1041C0700X	Clinical Social Worker	LCSW707	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19523088751	OTHER	ID	BUSINESS NPI

General Provider Information

NPI Number	:	1043411861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XL HOSPICE, INC.

Provider Business Mailing Address
First Line	:	57 GROVE RD
Second Line	:
City	:	ONTARIO
State	:	OR
Zip	:	97914-8155
Country	:	US
Telephone Number	:	208-262-3443
Fax Number	:	208-642-9224

Provider Business Practice Location Address
First Line	:	2480 HIGHWAY 52
Second Line	:
City	:	PAYETTE
State	:	ID
Zip	:	83661-5536
Country	:	US
Telephone Number	:	208-642-9222
Fax Number	:	208-642-9224

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DWIGHT ERWIN OLSON
Credential	:	LCSW
Telephone Number	:	208-642-9222

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	04/20/2008

Similar Medicare Providers

1952308751 — XL HOSPICE INC
Practice Location Address:

2480 HIGHWAY 52
PAYETTE, ID
83661-5536

Practice Phone: 208-642-9222
Practice Fax: 208-642-9224

1518814649 — MICHAEL SEWARD
Practice Location Address:

2900 BANDON DUNES AVE
PAYETTE, ID
83661-1058

Practice Phone: 208-713-4029
Practice Fax: 208-713-4029

1497759088 — YVETTE RENE SWEET DO
Practice Location Address:

1441 NE 10TH AVE
PAYETTE, ID
83661-5420

Practice Phone: 208-642-9376
Practice Fax: 208-642-9598

1215938030 — MARCIA STRAHN CNM
Practice Location Address:

1441 NE 10TH AVE
PAYETTE, ID
83661-5420

Practice Phone: 208-642-9376
Practice Fax: 208-642-9598

1992773998 — SPOONER EYE CARE SC
Practice Location Address:

1611 RIVER ST
PAYETTE, ID
83661-2073

Practice Phone: 715-520-3414
Practice Fax:

1295781110 — ALBERTSONS LLC
Practice Location Address:

405 S MAIN ST
PAYETTE, ID
83661

Practice Phone: 208-642-9331
Practice Fax: 208-642-1550

Directions to “XL HOSPICE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.