| Organization Name: | INTREPID USA INC |
| NPI Number: | 1245596543 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAUL D FOSTER (CEO) |
| Mailing Address: | 101 W Main St Radford |
| State: | VA US |
| Postal Code: | 241411582 |
| Phone Number: | 5406393280 |
| Fax Number: | 5406393670 |
| NPI Enumeration Date: | 04/11/2012 |
| NPI Last Update Date: | 04/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |