Hospice Peachtree, Llc

LBN: Hospice Peachtree, Llc
Hospice Peachtree, Llc is an health care organization with primary practice located at 3100 N Broadway St , Poteau OK 74953-5428. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Hospice Peachtree, Llc can be contacted via phone (918) 647-7008, or through Petrus, Jim via phone (479) 494-0100.

Contact Information

Primary practice address
3100 N Broadway St Poteau OK 74953-5428
Phone: (918) 647-7008
Fax: (918) 647-7168
Website:
Map and Directions
Authorized official contact:
Name: Petrus, Jim
Phone: (479) 494-0100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 4057 Oklahoma

Profile Details

NPI number 1184887572
LBN Legal business name Hospice Peachtree, Llc
DBA Doing business as
Authorized official Petrus, Jim
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2008
Last updated Jul 7th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184887572 NPPES
Oklahoma MEDICAID 100679750 B

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