NPI 1609680396 · live from the CMS NPI Registry
Circle Of Life
Internal Medicine, Hospice and Palliative Medicine in Colcord, OK. National Provider Identifier 1609680396, active.
NPI record
| NPI | 1609680396 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 2886 Highway 412 Ste D, Colcord, OK 74338 |
| Practice phone | 479-750-6632 |
| Mailing address | 901 Jones Rd, Springdale, AR 72762 |
| Enumerated | February 4, 2025 |
| Last updated | February 4, 2025 |
| Authorized official | Catherine Grubbs, Ceo |
| Other names | Circle Of Life Home-Based Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Hospice and Palliative Medicine primary | 207RH0002X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.