Physicians Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

055 Issued in MS

Legal business name

PHYSICIANS HOSPICE, INC

Doing business as

Charity Hospice

Practice address

340 Getwell St
Marks, MS 38646-9785

Phone

(662) 326-7323

Fax

(662) 326-6348

NPI assigned

Aug 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard E Waller, M.D.NPI 1821001041

Title

President

Phone

(662) 326-3500

Specialties & licenses 1

Addresses

Other names 1

• Charity Hospice Doing business as

Practitioners 1

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.

• Richard Edwin Waller, M.D.

  • Family Medicine Physician
  • Marks, MS
  • NPI 1821001041
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619088531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386460387",
            "telephone_number": "662-326-7323",
            "fax_number": "662-326-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GETWELL ST",
            "city": "MARKS",
            "state": "MS",
            "postal_code": "386469785",
            "telephone_number": "662-326-7323",
            "fax_number": "662-326-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-326-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MS",
            "license": "055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charity Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi State Department of Health
• Lonnie L Moore, NP
• Seng P Pang, FNP
• Parental Adult Daycare
• Paul Hester & Wanda Hester PTR (Quitman County Ambulance Service)
• Progressive Wound Care Specialty LLC (Wound Care Specialist of Marks)
• Quitman Community Hospital
• Quitman Community Hospital (Quitman County Ambulance Service)
• Quitman Community Hospital
• Quitman Community Hospital (Quitman Family & Specialty Clinic)

• Community Based Hospice Care Agency in Marks, MS
• Providers in Marks, MS by specialty
• Community Based Hospice Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.