| Change Health Systems Inc | |
|
7 N Potomac St Ste 101 Hagerstown MD 21740-4805 | |
| (410) 233-1088 | |
| Not Available |
| 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: (410) 233-1088 | Change Health Systems Inc 7 N Potomac St Ste 101 Hagerstown MD 21740-4805 Ph: (410) 233-1088 |
| NPI Number | 1588945182 |
|---|---|
| Provider Enumeration Date | 09/09/2011 |
| Last Update Date | 07/10/2023 |
| Certification Date | 06/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588945182 | NPI | - | NPPES |
| 400314400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH-826 (Maryland) | Primary |
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