Promedica Hospice (Eau Claire)
LBN: In Home Health Llc
Promedica Hospice (Eau Claire) is an health care organization with primary practice located at 3580 Linden Ave Ste A-1 , White Bear Lake MN 55110-4625. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Agencies / Hospice Care, Community Based. Agencies / Hospice Care, Community Based is the primary health care specialty.
In Home Health Llc can be contacted via phone (651) 633-6522, or through Allen, Martin D via phone (419) 252-5734.
Contact Information
Primary practice address
3580 Linden Ave Ste A-1
White Bear Lake MN 55110-4625
Phone: (651) 633-6522
Fax: (651) 633-5733
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | ||
Agencies / Hospice Care, Community Based | 251G00000X | 333520 | Minnesota |
Profile Details
NPI number | 1134173446 |
---|---|
LBN Legal business name | In Home Health Llc |
DBA Doing business as | Promedica Hospice (Eau Claire) |
Authorized official | Allen, Martin D |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 20th, 2006 |
Last updated | Apr 15th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134173446 | NPPES |
Wisconsin | MEDICAID | 1134173446 | |
Wisconsin | MEDICAID | 091318900 |
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