CCN: 461553 NPI: 1821046236 Organization

CNS Community Hospice - Providence

221 NORTH GATEWAY DRIVE , SUITE G
PROVIDENCE, UT 843329791

Contact Information

Phone 4357523355
Fax 4357321185
Enumeration Date 2006-05-05
Last Updated 2015-09-22

Taxonomies

Code: 251G00000X (Primary) License State: UT License: 2014-HOSPICE-69017

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 6

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 6

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 0

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 0

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 0

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 0

cbsaActualGeographicLocation 30860

providerType 35

censusDivision 0

cbsaActualGeographicLocation 30860

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 30860

providerType 35

specialPaymentIndicator

carrierCode 03502

localityCode 09