Organization
HOSPICE OF DUBUQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVONNE NOEL (EXECUTIVE DIRECTOR)
(563) 582-1220
Entity
Organization
Contact information
Practice address
1670 JOHN F KENNEDY RD, DUBUQUE, IA 52002-5106
(563) 582-1220
(563) 582-8089
Mailing address
1670 JOHN F KENNEDY RD, DUBUQUE, IA 52002-5106
(563) 582-1220
(563) 582-8089
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
2001618
IL
251G00000X
Community Based Hospice Care Agency
562
WI
251G00000X
Community Based Hospice Care Agency
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0615146
—
IA
01
—
3000738
MEDICAL ASSOCIATES HEALTH
IA
05
—
43187800
—
WI
01
—
61514
WELLMARK BCBS OF IOWA
IA
Enumeration date
06/08/2005
Last updated
05/03/2011
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