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NPI Code Detail

MEDICARE: MERCY HOSPICE, INC

MEDICARE: MERCY 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
1251G00000XCommunity Based Hospice Care AgencyHO143MO

General Provider Information

NPI Number : 1487605069
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOSPICE, INC
Provider Business Mailing Address
First Line : 14180 DALLAS PKWY
Second Line : SUITE 800
City : DALLAS
State : TX
Zip : 75254-4341
Country : US
Telephone Number : 214-306-4500
Fax Number : 972-386-0704
Provider Business Practice Location Address
First Line : 10805 SUNSET OFFICE DR STE 400
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63127-1028
Country : US
Telephone Number : 314-821-8826
Fax Number : 972-386-0704
Authorized Official
Title or Position : BILLING MANAGER
Name : AMY MARIE WHITLEY
Credential :
Telephone Number : 214-306-4520
Provider Enumeration Date : 05/16/2006
Last Update Date : 08/22/2020

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