CCN: 141734 NPI: 1578332052 Organization

Ardent Hospice & Palliative Care Southern Illinois, Inc.

1669 WINDHAM WAY STE C
O FALLON, IL 622693072

Contact Information

Phone 6186078110
Fax 6186078027
Enumeration Date 2023-12-27
Last Updated 2023-12-27

Taxonomies

Code: 251G00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 41180

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41180

providerType 35

specialPaymentIndicator

cbsaActualGeographicLocation 41180

providerType 35

specialPaymentIndicator

cbsaActualGeographicLocation 41180

providerType 35

specialPaymentIndicator