Active NPI
Local Hospice, Inc.
- Community Based Hospice Care Agency
- Sallisaw, OK
National Provider Identifier
1861536252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4242
- Legal business name
- LOCAL HOSPICE, INC.
- Practice address
- 100 E. Choctaw Ave
Suite a
Sallisaw, OK 74955-4607 - Phone
- (918) 790-2277
- Fax
- (918) 790-2279
- NPI assigned
- Feb 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Melinda L Martin
- Title
- Secretary - Treasurer
- Phone
- (918) 790-2277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4242 | OK | Primary |
Addresses
Primary practice location
100 E. Choctaw Ave
Suite a
Sallisaw, OK 74955-4607
Mailing address
100 E Choctaw Ave
Suite a
Sallisaw, OK 74955-4607
Phone (918) 790-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200108270A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
12418 E 86th St N
Owasso, OK 74055
Phone (918) 274-3552
8426A N 123rd East Ave
Owasso, OK 74055
Phone (918) 274-3552
100 E Choctaw Ave
Ste A
Sallisaw, OK 74955
Phone (918) 790-2277
206 N Wheeler Ave
Sallisaw, OK 74955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1861536252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CHOCTAW AVE",
"address_2": "SUITE A",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749554607",
"telephone_number": "918-790-2277",
"fax_number": "918-790-2279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E. CHOCTAW AVE",
"address_2": "SUITE A",
"city": "SALLISAW",
"state": "OK",
"postal_code": "749554607",
"telephone_number": "918-790-2277",
"fax_number": "918-790-2279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCAL HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-18",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY - TREASURER",
"authorized_official_telephone_number": "918-790-2277",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OK",
"license": "4242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200108270A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sallisaw, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.