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NPI Code Detail

MEDICARE: VITAS HEALTHCARE CORPORATION MIDWEST

MEDICARE: VITAS HEALTHCARE CORPORATION MIDWEST
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician
2363L00000XNurse Practitioner
3207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1659147049
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITAS HEALTHCARE CORPORATION MIDWEST
Provider Business Mailing Address
First Line : 255 E 5TH ST STE 1050
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-4121
Country : US
Telephone Number : 513-618-2243
Fax Number :
Provider Business Practice Location Address
First Line : 16 EXECUTIVE DR STE 100
Second Line :
City : FAIRVIEW HEIGHTS
State : IL
Zip : 62208-1366
Country : US
Telephone Number : 618-622-9073
Fax Number :
Authorized Official
Title or Position : PRESIDENT & CEO
Name : NICHOLAS WESTFALL
Credential :
Telephone Number : 513-618-2240
Provider Enumeration Date : 11/28/2023
Last Update Date : 11/28/2023

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Directions to “VITAS HEALTHCARE CORPORATION MIDWEST ” Practice Location

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