MEDICARE: REGIONAL HOSPICE SERVICES,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	251G00000X	Community Based Hospice Care Agency	526	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1184627499
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGIONAL HOSPICE SERVICES,INC.

Provider Business Mailing Address
First Line	:	1913 BEASER AVE
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-3604
Country	:	US
Telephone Number	:	715-685-5151
Fax Number	:	715-682-6404

Provider Business Practice Location Address
First Line	:	1913 BEASER AVE
Second Line	:
City	:	ASHLAND
State	:	WI
Zip	:	54806-3604
Country	:	US
Telephone Number	:	715-685-5151
Fax Number	:	715-682-6404

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. LYNDA GAYLE ANDERSON
Credential	:	RN
Telephone Number	:	715-685-5151

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/16/2015

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