| Way Station At Frederick County | |
|
230 W Patrick St Frederick MD 21701-6945 | |
| (301) 662-0099 | |
| (301) 662-1071 |
| Full Name | Way Station At Frederick County |
|---|---|
| Speciality | Clinic/center - Rehabilitation |
| Location | 230 W Patrick St, Frederick, Maryland |
| Authorized Official Name and Position | Scott Rose (C E O) |
| Authorized Official Contact | 3016620099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Station At Frederick County Po Box 3826 Frederick MD 21705-3826 Ph: (301) 662-0099 | Way Station At Frederick County 230 W Patrick St Frederick MD 21701-6945 Ph: (301) 662-0099 |
| NPI Number | 1053492934 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053492934 | NPI | - | NPPES |
| 588931600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
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