Organization Active NPI

Hospice of Crawford County, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Meadville, PA
National Provider Identifier
1124419155
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
154099 Issued in PA
Legal business name
HOSPICE OF CRAWFORD COUNTY, INC.
Practice address
766 Liberty St
Meadville, PA 16335-2555
Phone
(814) 333-5403
Fax
(814) 333-5407
NPI assigned
Feb 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Nancy O Pierce
Title
Financial Special Projects Coordina
Phone
(814) 373-2997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X 154099 PA Primary

Addresses

Primary practice location

766 Liberty St
Meadville, PA 16335-2555

Mailing address

766 Liberty St
Meadville, PA 16335-2555
Phone (814) 333-5403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150813009776 PA Part B Supplier - Clinic/Group Practice 3971414442 Receives reassigned benefits from 5 practitioners
Practice locations: Meadville, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

464 Pine St
Meadville, PA 16335
Phone (814) 333-5403

704 N Main St
Meadville, PA 16335
Phone (814) 373-2923

13465 N Wayland Rd
Meadville, PA 16335
Phone (814) 807-0826

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1124419155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352555",
            "telephone_number": "814-333-5403",
            "fax_number": "814-333-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 LIBERTY ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352555",
            "telephone_number": "814-333-5403",
            "fax_number": "814-333-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF CRAWFORD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "FINANCIAL SPECIAL PROJECTS COORDINA",
        "authorized_official_telephone_number": "814-373-2997",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "PA",
            "license": "154099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.