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NPI Code Detail

MEDICARE: HOSPICE OF CENTRAL IOWA

MEDICARE: HOSPICE OF CENTRAL IOWA
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 Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497751150
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF CENTRAL IOWA
Provider Business Mailing Address
First Line : 3000 EASTON BLVD
Second Line :
City : DES MOINES
State : IA
Zip : 50317-3124
Country : US
Telephone Number : 515-274-3400
Fax Number : 515-274-1137
Provider Business Practice Location Address
First Line : 3000 EASTON BLVD
Second Line :
City : DES MOINES
State : IA
Zip : 50317
Country : US
Telephone Number : 515-274-3400
Fax Number : 515-274-1137
Authorized Official
Title or Position : ADMINISTRATIVE ASSISTANT
Name : SUSAN MAFFIN
Credential :
Telephone Number : 515-333-4261
Provider Enumeration Date : 06/27/2005
Last Update Date : 04/08/2019

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Directions to “HOSPICE OF CENTRAL IOWA ” Practice Location

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