- Enrollment id
- O20050325000482
- Enrollment state
- IA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1598869232
- Multiple npi flag
- N
- Ccn
- 161530
- Associate id
- 4486563061
- Organization name
- PALO ALTO COUNTY HOSPITAL
- Doing business as name
- HOSPICE OF PALO ALTO COUNTY
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Address line 1
- 3201 1ST ST
- City
- EMMETSBURG
- State
- IA
- Zip code
- 505362516