MEDICARE: COMPASSION CONNECTION 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1477726669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSION CONNECTION INC.

Provider Business Mailing Address
First Line	:	2725 BETHEL CHURCH RD
Second Line	:
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-2036
Country	:	US
Telephone Number	:	412-835-8900
Fax Number	:	412-851-9830

Provider Business Practice Location Address
First Line	:	2725 BETHEL CHURCH RD
Second Line	:
City	:	BETHEL PARK
State	:	PA
Zip	:	15102-2036
Country	:	US
Telephone Number	:	412-835-8900
Fax Number	:	412-851-9830

Authorized Official
Title or Position	:	DIRECTOR OF COUNSELING
Name	:	MR. PATRICK WILLIAM MARY
Credential	:	M.A.
Telephone Number	:	412-835-8900

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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