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NPI Code Detail

MEDICARE: HOSPICE OF THE SHOALS, INC.

MEDICARE: HOSPICE OF THE SHOALS, 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 Agency11688AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
243113OTHERALBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1750329355
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE SHOALS, INC.
Provider Business Mailing Address
First Line : 115 FAIRGROUND RD
Second Line :
City : FLORENCE
State : AL
Zip : 35630-1283
Country : US
Telephone Number : 256-767-6699
Fax Number : 256-767-3116
Provider Business Practice Location Address
First Line : 115 FAIRGROUND RD
Second Line :
City : FLORENCE
State : AL
Zip : 35630-1283
Country : US
Telephone Number : 256-767-6699
Fax Number : 256-767-3116
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. RALPH N CAGLE JR.
Credential : MBA
Telephone Number : 256-767-6699
Provider Enumeration Date : 06/04/2006
Last Update Date : 08/22/2020

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Directions to “HOSPICE OF THE SHOALS, INC. ” Practice Location

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