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NPI Code Detail

MEDICARE: ALPINE HOSPICE INC

MEDICARE: ALPINE 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 Agency

General Provider Information

NPI Number : 1265430573
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALPINE HOSPICE INC
Provider Business Mailing Address
First Line : PO BOX 65788
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84165-0788
Country : US
Telephone Number : 801-392-8880
Fax Number : 801-395-2498
Provider Business Practice Location Address
First Line : 990 W 5370 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84123-5435
Country : US
Telephone Number : 801-486-2348
Fax Number : 801-466-8961
Authorized Official
Title or Position : PRESIDENT
Name : MR. ROBERT H BREINHOLT
Credential :
Telephone Number : 801-392-8880
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/22/2012

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Directions to “ALPINE HOSPICE INC ” Practice Location

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