Organization
KEYSTONE HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL INDERWIES RN,BSN,MBA (PRESIDENT EXECUTIVE DIRECTOR)
(215) 836-2440
Entity
Organization
Contact information
Practice address
8765 STENTON AVE, WYNDMOOR, PA 19038-8317
(215) 836-2440
(215) 836-3470
Mailing address
8765 STENTON AVE, WYNDMOOR, PA 19038-8317
(215) 836-2440
(215) 836-3470
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
159399
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001985000
FEDERAL BLUE CROSS
PA
01
—
1064424
KEYSTONE MERCY
PA
01
—
14622
HEALTH PARTNERS
PA
05
—
159399
—
PA
01
—
391593
TRICARE
PA
01
—
561447
AETNA
PA
01
—
X000363701
AMERICHOICE
PA
Enumeration date
12/14/2005
Last updated
10/23/2008
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