Provider Demographics
NPI:1407268485
Name:INTEGRATED SENIOR CARE HOSPICE
Entity Type:Organization
Organization Name:INTEGRATED SENIOR CARE HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRAMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-628-8944
Mailing Address - Street 1:616 S RIVER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-2105
Mailing Address - Country:US
Mailing Address - Phone:435-628-8944
Mailing Address - Fax:435-635-4506
Practice Address - Street 1:616 S RIVER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790
Practice Address - Country:US
Practice Address - Phone:435-628-8944
Practice Address - Fax:435-635-4506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based