MEDICARE: HOSPICE OF FAYETTE COUNTY INC.

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	251G00000X	Community Based Hospice Care Agency	0011-HSP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000156813	OTHER	OH	ANTEHM BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386628931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE OF FAYETTE COUNTY INC.

Provider Business Mailing Address
First Line	:	222 NORTH OAKLAND AVENUE
Second Line	:
City	:	WASHINGTON COURT HOUSE
State	:	OH
Zip	:	43160-0849
Country	:	US
Telephone Number	:	740-335-0149
Fax Number	:	740-335-3489

Provider Business Practice Location Address
First Line	:	222 N OAKLAND AVE
Second Line	:
City	:	WASHINGTON COURT HOUSE
State	:	OH
Zip	:	43160-1234
Country	:	US
Telephone Number	:	740-335-0149
Fax Number	:	740-335-3489

Authorized Official
Title or Position	:	CEO
Name	:	MR. KENT ANDERSON
Credential	:
Telephone Number	:	937-823-2631

Provider Enumeration Date	:	12/06/2005
Last Update Date	:	08/22/2024

Similar Medicare Providers

1265921159 — HEATHER MARIE CAMP
Practice Location Address:

240 N OAKLAND AVE
WASHINGTON COURT HOUSE, OH
43160-1234

Practice Phone: 740-335-6935
Practice Fax:

1255498085 — MRS. SHEILA LESSMAN PHYSICIANS ASSISTANT
Practice Location Address:

7 AUTUMN WIND COURT
REISTERSTOWN, MD
21136-1234

Practice Phone: 410-308-2765
Practice Fax:

1043486228 — MR. FRANKLIN FREDRICK WILEMAN R.D.H.
Practice Location Address:

1234 LLOYD COURT
CUSTER, WI
54423

Practice Phone: 715-592-4704
Practice Fax:

1295717312 — DREW E PERMUT, PHD, PC
Practice Location Address:

1234 19TH ST NW , SUITE 800
WASHINGTON, DC
20036-2407

Practice Phone: 202-775-9590
Practice Fax: 202-775-0287

1629056361 — DR. JEFFREY M GITELMAN D.D.S.
Practice Location Address:

1234 19TH ST NW , 508
WASHINGTON, DC
20036-2407

Practice Phone: 202-223-3391
Practice Fax: 202-833-8874

1578508198 — SANFORD MEDICAL CENTER FARGO
Practice Location Address:

1234 WASHINGTON AVE STE B
DETROIT LAKES, MN
56501-3906

Practice Phone: 218-846-2200
Practice Fax: 218-846-2201

Directions to “HOSPICE OF FAYETTE COUNTY INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.