National Provider Identifier Database

THREE RIVERS HOSPICE INC
Hospice Care, Community Based


Contact Information

THREE RIVERS HOSPICE INC
600 N MAIN ST
MOUNTAIN GROVE, MO65711-1309
Phone: 417-926-3373
Fax:
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for THREE RIVERS HOSPICE INC

NPI Number 1033236195
Legal business name
LBN
THREE RIVERS HOSPICE INC
Authorized official CLIFF SHIRRELL - (VICE PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 12/13/2017 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • MO License #: 172-10HO
  • MO Medicaid: 826349003

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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