Organization
PREFERRED HOSPICE OF MISSOURI LLC
Active
Other names
Preferred Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C LINCOLN (MEMBER)
(573) 481-9625
Entity
Organization
Contact information
Practice address
423 BUSINESS HIGHWAY 60 WEST, DEXTER, MO 63841-1121
(573) 614-4774
(573) 614-4775
Mailing address
1220 NORTH MAIN STREET, SIKESTON, MO 63801-4827
(573) 481-9625
(573) 481-9639
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
139-3HO
MO
251G00000X
Community Based Hospice Care Agency
139-HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548296304
—
MO
01
—
200884
BLUE CROSS BLUE SHIELD
MO
05
—
826195208
—
MO
Enumeration date
06/23/2006
Last updated
01/05/2011
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