Provider Demographics
NPI:1649552092
Name:IOWA HOSPICE
Entity type:Organization
Organization Name:IOWA HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTENS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:712-467-7423
Mailing Address - Street 1:2797 READING TRL
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:IA
Mailing Address - Zip Code:51546-5053
Mailing Address - Country:US
Mailing Address - Phone:712-216-0418
Mailing Address - Fax:
Practice Address - Street 1:1514 E 7TH ST
Practice Address - Street 2:
Practice Address - City:ATLANTIC
Practice Address - State:IA
Practice Address - Zip Code:50022-1907
Practice Address - Country:US
Practice Address - Phone:712-467-7423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAJ091526251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based