Organization Active NPI

Local Hospice, Inc.

  • Community Based Hospice Care Agency
  • Sallisaw, OK
National Provider Identifier
1861536252
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
4242 Issued in OK
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

Updated by the provider on Dec 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200108270AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.