Organization · Type 2 NPI

Intrepid of Missouri, Inc.

Community Based Hospice Care Agency · Springfield, MO

NPI number 1245597285 Active

Practice location

4311 S National Ave
Springfield, MO 65810-2607

Call (417) 882-0614 Map

Fax (417) 823-3071

Mailing address

14841 Dallas Pkwy Ste 625
Dallas, TX 75254-7641

Other practice locations

3025 S Main St Ste 3, Joplin, MO 64804-2677 · (417) 233-4132

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

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NPI record

NPI: 1245597285
Entity type: Organization (Type 2)
Issued: Apr 16, 2012
Last updated: Nov 9, 2022
Status: Active

Other names

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Intrepid USA Hospice · doing business as
Intrepid USA Hospice · doing business as

Authorized official

John M Kunysz
Chief Executive Officer
(214) 445-3750

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245597285

Intrepid of Missouri, Inc.'s National Provider Identifier is 1245597285, issued on Apr 16, 2012. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Springfield, MO. The record was last updated on Nov 9, 2022.