1679033963 NPI number — HOSPICE OF WASHINGTON COUNTY, INC.

Table of content: (NPI 1679033963)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679033963 NPI number — HOSPICE OF WASHINGTON COUNTY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPICE OF WASHINGTON COUNTY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679033963
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1710 UNDERPASS WAY STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAGERSTOWN
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21740-8158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-791-6360
Provider Business Mailing Address Fax Number:
301-791-9120

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
209 GRANT STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-504-3465
Provider Business Practice Location Address Fax Number:
301-791-9120
Provider Enumeration Date:
03/22/2019

Additional Information

Authorized Official

Authorized Official Last Name:
STEINER
Authorized Official First Name:
SHELLEY
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
DIRECTOR OF COMMUNITY BUSINESS PART
Authorized Official Telephone Number:
301-791-6360

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 251G0000X . This is a "TAXONOMY" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1053502336 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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