Change Health Systems Inc | |
7 N Potomac St Ste 101 Hagerstown MD 21740-4805 | |
(240) 420-1850 | |
(240) 420-1852 |
Full Name | Change Health Systems Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 7 N Potomac St Ste 101, Hagerstown, Maryland |
Authorized Official Name and Position | Israel Ojo (CEO) |
Authorized Official Contact | 4102331088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Change Health Systems Inc 7 N Potomac St Ste 101 Hagerstown MD 21740-4805 Ph: (240) 420-1850 | Change Health Systems Inc 7 N Potomac St Ste 101 Hagerstown MD 21740-4805 Ph: (240) 420-1850 |
NPI Number | 1265761753 |
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Provider Enumeration Date | 12/14/2009 |
Last Update Date | 07/10/2023 |
Certification Date | 06/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265761753 | NPI | - | NPPES |
4040961 01 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4408 (Maryland) | Primary |
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