Provider Demographics
NPI:1679033963
Name:HOSPICE OF WASHINGTON COUNTY, INC.
Entity Type:Organization
Organization Name:HOSPICE OF WASHINGTON COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY BUSINESS PART
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELLEY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-791-6360
Mailing Address - Street 1:747 NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2723
Mailing Address - Country:US
Mailing Address - Phone:301-791-6360
Mailing Address - Fax:301-791-9120
Practice Address - Street 1:209 GRANT STREET
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-504-3465
Practice Address - Fax:301-791-9120
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF WASHINGTON COUNTY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-22
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1053502336Medicaid
MD251G0000XOtherTAXONOMY