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NPI Code Detail

MEDICARE: PRIORITY HOSPICE CARE, INC

MEDICARE: PRIORITY HOSPICE CARE, 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 Agency0000000326TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13135379OTHERTNTENNCARE PROVIDER NUMBER
201041745OTHERTNAMERIGROUP COMMUNITY CARE

General Provider Information

NPI Number : 1871694133
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIORITY HOSPICE CARE, INC
Provider Business Mailing Address
First Line : 619 WOODLAND ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-4211
Country : US
Telephone Number : 615-228-1161
Fax Number : 615-242-6427
Provider Business Practice Location Address
First Line : 619 WOODLAND ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-4211
Country : US
Telephone Number : 615-228-1161
Fax Number : 615-242-6427
Authorized Official
Title or Position : PRESIDENT
Name : MRS. CAROL ANN JENKINS
Credential :
Telephone Number : 615-360-1238
Provider Enumeration Date : 09/26/2006
Last Update Date : 01/25/2008

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Directions to “PRIORITY HOSPICE CARE, INC ” Practice Location

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