Organization Name: | ST. CROIX HOSPICE LLC |
NPI Number: | 1508018185 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATH A BARTNESS (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 7200 Hudson Blvd N Suite 230 Oakdale |
State: | MN US |
Postal Code: | 551287055 |
Phone Number: | 6517353656 |
Fax Number: | 6517350126 |
NPI Enumeration Date: | 10/15/2008 |
NPI Last Update Date: | 05/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 2029 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |