MEDICARE: BROOKVILLE HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366431520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKVILLE HOSPITAL

Provider Business Mailing Address
First Line	:	240 ALLEGHENY BLVD
Second Line	:	SUITE M
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-2323
Country	:	US
Telephone Number	:	814-849-3739
Fax Number	:	814-849-1944

Provider Business Practice Location Address
First Line	:	240 ALLEGHENY BLVD
Second Line	:	SUITE M
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-2323
Country	:	US
Telephone Number	:	814-849-3739
Fax Number	:	814-849-1944

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. CATHY KEEFER
Credential	:	RN
Telephone Number	:	814-849-3739

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	08/22/2020

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Directions to “BROOKVILLE HOSPITAL ” Practice Location

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