Organization
HIGH DESERT THERAPY ASSOCIATES INC
Active
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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