MEDICARE: CATHOLIC HOSPICE 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		PA

General Provider Information

NPI Number	:	1962698738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC HOSPICE INC.

Provider Business Mailing Address
First Line	:	6200 BROOKTREE RD
Second Line	:	SUITE 220
City	:	WEXFORD
State	:	PA
Zip	:	15090-9299
Country	:	US
Telephone Number	:	724-933-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 BROOKTREE RD
Second Line	:	SUITE 220
City	:	WEXFORD
State	:	PA
Zip	:	15090-9299
Country	:	US
Telephone Number	:	724-933-6222
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. CRISTEN MARIA KREBS
Credential	:	BSN
Telephone Number	:	724-933-6222

Provider Enumeration Date	:	09/14/2007
Last Update Date	:	11/27/2007

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Directions to “CATHOLIC HOSPICE INC. ” Practice Location

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