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Contact Information

HIGH DESERT HOSPICE LLC
2210 SHALLOCK AVENUE
KLAMATH FALLS, OR97601-4290
 Phone: 541-882-1636
 Fax: 541-882-1799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
Indicates primary specialty

NPI Profile & details for HIGH DESERT HOSPICE LLC

NPI Number 1033191440
LBN Legal business name HIGH DESERT HOSPICE LLC
Authorized official ALEX MAURICIO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/19/2005
Last updated 09/24/2025 - About 8 months ago
Identifiers
OR Medicaid 028060
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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