Crater Community Hospice Inc

LBN: Crater Community Hospice Inc
Crater Community Hospice Inc is an health care organization with primary practice located at 3916 S Crater Rd , Petersburg VA 23805-9202. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Crater Community Hospice Inc can be contacted via phone (804) 526-4300, or through Mitchell, Brenda D. via phone (804) 526-4300.

Contact Information

Primary practice address
3916 S Crater Rd Petersburg VA 23805-9202
Phone: (804) 526-4300
Fax: (804) 526-4924
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Brenda D. RN, MSN, CS, CHPN
Phone: (804) 526-4300

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 0515-15 Virginia

Profile Details

NPI number 1962407700
LBN Legal business name Crater Community Hospice Inc
DBA Doing business as
Authorized official Mitchell, Brenda D. RN, MSN, CS, CHPN
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2005
Last updated Jun 9th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962407700 NPPES
Other 337221 BLUE CROSS PROVIDER ID
MEDICAID 004910192 BLUE CROSS PROVIDER ID

Popular Providers