Provider Demographics
NPI:1447440730
Name:GILCHRIST HOSPICE CARE PHYSICIAN
Entity type:Organization
Organization Name:GILCHRIST HOSPICE CARE PHYSICIAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR & COO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-849-8204
Mailing Address - Street 1:11311 MCCORMICK RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-1004
Mailing Address - Country:US
Mailing Address - Phone:443-849-8200
Mailing Address - Fax:443-849-8338
Practice Address - Street 1:11311 MCCORMICK RD
Practice Address - Street 2:SUITE 350
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-1004
Practice Address - Country:US
Practice Address - Phone:443-849-8200
Practice Address - Fax:443-849-8338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH1526251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD251004900Medicaid