Ancora Hospice & Palliative Services, LLC
Organization Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Meridian, ID
NPI 1558079566 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1558079566
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- Legal business name
- ANCORA HOSPICE & PALLIATIVE SERVICES, LLC
- Practice address
- 660 E Franklin Rd Ste 140
Meridian, ID 83642-2914 - Phone
- (208) 992-2672
- Fax
- (208) 992-2673
- NPI assigned
- Nov 8, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- ANCORA HOSPICE & PALLIATIVE SERVICES, LLC
Authorized official
- Name
- Dr. Billy J Galligar
- Title
- Chief Medical Director
- Phone
- (208) 452-2672
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 6
-
Jessica A Evert, MD
-
Zachary Friberg, NP
-
Billy J Galligar, MD
-
Sarah Beth Chandler, DNP
-
Lindsey Enriquez, APRN
-
Samantha D'Ann Blackburn, PMHNP-BC; FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220201000124 | ID | Part B Supplier - Clinic/Group Practice | 6204230980 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: Fruitland, ID; Meridian, ID |
National Provider Directory
- Part of
- Ancora Hospice Palliative
Locations
401 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672
808 N Whitley Dr
Fruitland, ID 83619
Phone (208) 452-2672
1008 SW 4th Ave
#1
Ontario, OR 97914
Phone (657) 428-3299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician |
207QH0002X | Yes |
Addresses
Primary practice location
660 E Franklin Rd Ste 140
Meridian, ID 83642-2914
Mailing address
660 E Franklin Rd Ste 140
Meridian, ID 83642-2914
Phone (208) 452-2672
Other practice location 1
808 N Whitley Dr
Fruitland, ID 83619-2437
Phone (208) 452-2672
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500854070 | Medicaid | OR |
Other names
- Ancora Health Services
Other providers in Meridian, ID
- Ji Young An
- Sungjoon David An
- Anchor Health Homecare Id LLC
- Anchor Pointe Inc
- Anchored & Renewed Hope Counseling
- Ancora Hospice & Palliative Services, LLC
- Alpha Tamir Anders
- Andersen Family Care
- Dallin Andersen
- Joseph John Andersen
All providers in Meridian, ID · Hospice and Palliative Medicine (Family Medicine) Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.