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NPI Code Detail

MEDICARE: COMPASSUS BSMH ST. FRANCIS HOSPICE LLC

MEDICARE: COMPASSUS BSMH ST. FRANCIS HOSPICE LLC
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

General Provider Information

NPI Number : 1679391536
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPASSUS BSMH ST. FRANCIS HOSPICE LLC
Provider Business Mailing Address
First Line : 10 CADILLAC DR STE 400
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-1001
Country : US
Telephone Number : 615-637-9163
Fax Number : 615-373-4457
Provider Business Practice Location Address
First Line : 1836 W GEORGIA RD
Second Line :
City : SIMPSONVILLE
State : SC
Zip : 29680-7212
Country : US
Telephone Number : 864-688-1700
Fax Number : 864-688-1705
Authorized Official
Title or Position : SVP, CHIEF LEGAL OFFICER
Name : RUSSELL ADKINS
Credential :
Telephone Number : 615-926-0340
Provider Enumeration Date : 09/30/2024
Last Update Date : 09/30/2024

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