Organization
HIGH DESERT THERAPY ASSOCIATES INC
Active
Other names
Newberry Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PHILIP SMITH (TREASURER EXECUTIVE DIRECTOR)
(541) 536-7399
Entity
Organization
Contact information
Practice address
51681 HUNTINGTON ROAD, LA PINE, OR 97739
(541) 536-7399
(541) 536-6123
Mailing address
PO BOX 1888, LA PINE, OR 97739
(541) 536-7399
(541) 536-6123
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1997001
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139209
—
OR
Enumeration date
02/15/2006
Last updated
08/22/2020
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