NPI 1760127591 · live from the CMS NPI Registry
Heartland Hospice Services, LLC
Internal Medicine, Hospice and Palliative Medicine in De Pere, WI. National Provider Identifier 1760127591, active.
NPI record
| NPI | 1760127591 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Hospice and Palliative Medicine 207RH0002X |
| Practice location | 1145 W Main Ave Ste 205, De Pere, WI 54115 |
| Practice phone | 920-336-6455 |
| Mailing address | Po Box 10086, Toledo, OH 43699 |
| Enumerated | May 5, 2022 |
| Last updated | May 5, 2022 |
| Authorized official | Martin Allen, Sole Director |
| Other names | Promedica Hospice (Green Bay) |
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.