Provider Demographics
NPI:1376768135
Name:HFC ENTERPRISES, INC
Entity Type:Organization
Organization Name:HFC ENTERPRISES, INC
Other - Org Name:HEMPHILL FAMILY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:SHARON
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:1712-832-9559
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:215 MARKET ST STE 2
Mailing Address - City:LAKE PARK
Mailing Address - State:IA
Mailing Address - Zip Code:51347-0627
Mailing Address - Country:US
Mailing Address - Phone:712-832-9559
Mailing Address - Fax:712-832-3801
Practice Address - Street 1:215 MARKET ST STE 2
Practice Address - Street 2:
Practice Address - City:LAKE PARK
Practice Address - State:IA
Practice Address - Zip Code:51347-0627
Practice Address - Country:US
Practice Address - Phone:712-832-9559
Practice Address - Fax:712-832-3801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA064884363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAS86309Medicare UPIN