Provider Demographics
NPI:1659824316
Name:COLUMBIA HEALTH PALLIATIVE CARE AND HOSPICE CORP
Entity Type:Organization
Organization Name:COLUMBIA HEALTH PALLIATIVE CARE AND HOSPICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:D
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-384-0030
Mailing Address - Street 1:15849 N 71ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-2179
Mailing Address - Country:US
Mailing Address - Phone:877-811-3676
Mailing Address - Fax:
Practice Address - Street 1:15849 N 71ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-2179
Practice Address - Country:US
Practice Address - Phone:877-811-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient