NPIMap

Organization Active NPI

Heartland Hospice-Broken Bow

  • Community Based Hospice Care Agency
  • Broken Bow, OK
National Provider Identifier
1831215219
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEARTLAND HOSPICE-BROKEN BOW
Practice address
605 S Park Dr
Suite 12
Broken Bow, OK 74728-5331
Phone
(580) 584-7687
Fax
(580) 584-7697
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dovirn Dotson
Title
Accounts Receivable Supervisor
Phone
(800) 427-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

605 S Park Dr
Suite 12
Broken Bow, OK 74728-5331

Mailing address

333 N Summit St
Toledo, OH 43604-1531
Phone (800) 427-1902

National Provider Directory

National Provider Directory
Tax ID family
Heartland Hospice-Tulsa33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831215219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "800-427-1902",
            "fax_number": "419-254-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S PARK DR",
            "address_2": "SUITE 12",
            "city": "BROKEN BOW",
            "state": "OK",
            "postal_code": "747285331",
            "telephone_number": "580-584-7687",
            "fax_number": "580-584-7697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE-BROKEN BOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "DOVIRN",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE SUPERVISOR",
        "authorized_official_telephone_number": "800-427-1902",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Bow, OK

Sources for this page

  • 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.