NPIMap

Organization Active NPI

Palliative Support Center

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Columbus, IN
National Provider Identifier
1487059416
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
PALLIATIVE SUPPORT CENTER
Practice address
2626 17TH St
Columbus, IN 47201-5417
Phone
(812) 314-8080
Fax
(812) 314-8173
NPI assigned
Nov 4, 2014
Last updated
Jul 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laura M. Hurt
Title
President
Phone
(812) 314-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

2626 17TH St
Columbus, IN 47201-5417

Mailing address

2626 17TH St
Columbus, IN 47201-5417
Phone (812) 314-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190530000139 IN Part B Supplier - Clinic/Group Practice 8628311966 Receives reassigned benefits from 9 practitioners
Practice locations: Columbus, IN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24308/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753401600000",
    "number": "1487059416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015417",
            "telephone_number": "812-314-8080",
            "fax_number": "812-314-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 17TH ST",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015417",
            "telephone_number": "812-314-8080",
            "fax_number": "812-314-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALLIATIVE SUPPORT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "HURT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-314-8000"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.