Basic Information
| Provider Information | |||||||||
| NPI: | 1689801953 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MOUNT CARMEL HOSPICE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 634341 | ||||||||
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| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452634341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6145463493 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1144 DUBLIN RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 432151039 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142340200 | ||||||||
| FaxNumber: | 6142340201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2009 | ||||||||
| LastUpdateDate: | 06/15/2009 | ||||||||
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| AuthorizedOfficialLastName: | YOSICK | ||||||||
| AuthorizedOfficialFirstName: | LORI | ||||||||
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| AuthorizedOfficialTitleorPosition: | INTERIM MANAGEMENT | ||||||||
| AuthorizedOfficialTelephone: | 6142340223 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QH0002X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | Hospice and Palliative Medicine |
No ID Information.