Provider Demographics
NPI:1548268683
Name:HOSPICE OF TEXARKANA, INC.
Entity type:Organization
Organization Name:HOSPICE OF TEXARKANA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-794-4263
Mailing Address - Street 1:2407 GALLERIA OAKS DR
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4676
Mailing Address - Country:US
Mailing Address - Phone:870-216-0046
Mailing Address - Fax:870-216-0048
Practice Address - Street 1:501 E 6TH ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-5322
Practice Address - Country:US
Practice Address - Phone:870-216-0046
Practice Address - Fax:870-216-0048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR127125747Medicaid
AR041535Medicare UPIN