Healthcare Provider Details

I. General information

NPI: 1548957442
Provider Name (Legal Business Name): TALBOT HOSPICE FOUNDATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

586 CYNWOOD DR
EASTON MD
21601-3805
US

IV. Provider business mailing address

586 CYNWOOD DR
EASTON MD
21601-3805
US

V. Phone/Fax

Practice location:
  • Phone: 410-822-2040
  • Fax: 410-822-0814
Mailing address:
  • Phone: 410-822-2040
  • Fax: 410-822-0814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MOLLY KIRSCH
Title or Position: EXECTUTIVE DIRECTOR
Credential:
Phone: 410-822-6681