Active NPI
Hospice of Crawford County, Inc.
- Hospice and Palliative Medicine (Family Medicine) Physician
- Meadville, PA
National Provider Identifier
1124419155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 154099
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Community Based Hospice Care Agency
- Meadville, PA
- NPI 1629045059
3971414442
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Meadville, PA
- NPI 1710907365
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.