Physicians Hospice, Inc
Organization Active NPI Community Based Hospice Care Agency · Marks, MS
NPI 1619088531 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1619088531
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 055 (MS)
- Legal business name
- PHYSICIANS HOSPICE, INC
- Practice address
- 340 Getwell St
Marks, MS 38646-9785 - Phone
- (662) 326-7323
- Fax
- (662) 326-6348
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Richard E Waller, M.D.
- Title
- President
- Phone
- (662) 326-3500
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 055 | MS | Yes |
Addresses
Primary practice location
340 Getwell St
Marks, MS 38646-9785
Mailing address
PO Box 387
Marks, MS 38646-0387
Phone (662) 326-7323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0770431 | Medicaid | MS |
Other names
- Charity Hospice
Other providers in Marks, MS
- Mississippi State Department of Health
- Lonnie L Moore
- Seng P Pang
- Parental Adult Daycare
- Paul Hester & Wanda Hester PTR
- Progressive Wound Care Specialty LLC
- Quitman Community Hospital
- Quitman Community Hospital
- Quitman Community Hospital
- Quitman Community Hospital
All providers in Marks, MS · Community Based Hospice Care Agency in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.