Provider Demographics
NPI:1558353680
Name:CATSKILL AREA HOSPICE AND PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:CATSKILL AREA HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-432-6773
Mailing Address - Street 1:1 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-1319
Mailing Address - Country:US
Mailing Address - Phone:607-432-6773
Mailing Address - Fax:
Practice Address - Street 1:1 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-1319
Practice Address - Country:US
Practice Address - Phone:607-432-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-16
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3801501F251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01067674Medicaid
NY331524Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER