Provider Demographics
NPI:1154342707
Name:HOSPICE OF COMPASSION, INC.
Entity type:Organization
Organization Name:HOSPICE OF COMPASSION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-668-2262
Mailing Address - Street 1:406 COURT ST
Mailing Address - Street 2:PO BOX 1034
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:IA
Mailing Address - Zip Code:52361-1024
Mailing Address - Country:US
Mailing Address - Phone:319-668-2262
Mailing Address - Fax:319-668-1656
Practice Address - Street 1:406 COURT ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:IA
Practice Address - Zip Code:52361-1024
Practice Address - Country:US
Practice Address - Phone:319-668-2262
Practice Address - Fax:319-668-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0615286Medicaid
IA0615286Medicaid