CCN: 391764 NPI: 1639566557 Organization

REVOLUTIONARY HOSPICE

829 SCRANTON CARBONDALE HWY
EYNON, PA 184031020

Contact Information

Phone 5703837502
Fax 8666007413
Enumeration Date 2015-04-17
Last Updated 2020-07-21

Taxonomies

Code: 251G00000X (Primary) License State: PA License: 17641601

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 6

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 6

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 0

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 0

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 0

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 0

cbsaActualGeographicLocation 42540

providerType 35

censusDivision 0

cbsaActualGeographicLocation 42540

providerType 35

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 42540

providerType 35

specialPaymentIndicator

carrierCode 12502

localityCode 99