NPI 1194112037 · live from the CMS NPI Registry
Ut - Signature Hpc LLC
Hospice Care, Community Based in Ammon, ID. National Provider Identifier 1194112037, active.
NPI record
| NPI | 1194112037 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 3544 E 17th St, Suite 201, Ammon, ID 83406 |
| Practice phone | 208-524-0685 |
| Enumerated | April 17, 2015 |
| Last updated | April 17, 2015 |
| Authorized official | Richard Nebeke, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.