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NPI Code Detail

MEDICARE: HOSPARUS INC.

MEDICARE: HOSPARUS 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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
2251G00000XCommunity Based Hospice Care Agency400002KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609922707
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPARUS INC.
Provider Business Mailing Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3271
Country : US
Telephone Number : 502-456-6200
Fax Number : 502-456-6275
Provider Business Practice Location Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3271
Country : US
Telephone Number : 502-456-6200
Fax Number : 502-456-6275
Authorized Official
Title or Position : CHIEF LEGAL COUNSEL
Name : LYNN FIELDHOUSE
Credential : JC, CHC SRNA
Telephone Number : 502-727-9739
Provider Enumeration Date : 01/25/2007
Last Update Date : 02/26/2024

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Directions to “HOSPARUS INC. ” Practice Location

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