Organization Name: | SPIRIT MOUNTAIN HOSPICE |
NPI Number: | 1952372278 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA HARBRON (DIRECTOR) |
Mailing Address: | 707 Sheridan Ave Cody |
State: | WY US |
Postal Code: | 824143409 |
Phone Number: | 3075782413 |
Fax Number: | 3075782294 |
NPI Enumeration Date: | 01/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 06-181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |