Provider Demographics
NPI:1942671250
Name:HOSPICE VOLUNTEERS OF SOMERSET COUNTY
Entity Type:Organization
Organization Name:HOSPICE VOLUNTEERS OF SOMERSET COUNTY
Other - Org Name:HVOSC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:GAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-474-7775
Mailing Address - Street 1:41 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SKOWHEGAN
Mailing Address - State:ME
Mailing Address - Zip Code:04976-1151
Mailing Address - Country:US
Mailing Address - Phone:207-474-7775
Mailing Address - Fax:207-612-2931
Practice Address - Street 1:41 MAIN ST
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-1151
Practice Address - Country:US
Practice Address - Phone:207-474-7775
Practice Address - Fax:207-612-2931
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE VOLUNTEERS OF SOMERSET COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service