Organization Name: | A-MED COMMUNITY HOSPICE-AUSTIN, INC. |
NPI Number: | 1275644353 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER FRANK CROWDER (PRESIDENT) |
Mailing Address: | 7800 Shoal Creek Blvd Suite 242 Austin |
State: | TX US |
Postal Code: | 787571098 |
Phone Number: | 5123236500 |
Fax Number: | 5123232833 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 010425 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |