| Way Station, Inc. | |
|
121 Memorial Ave Cumberland MD 21502-4209 | |
| (301) 662-0099 | |
| (301) 695-2716 |
| Full Name | Way Station, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 Memorial Ave, Cumberland, Maryland |
| Authorized Official Name and Position | Robin G. Elchin (BILLING DIRECTOR) |
| Authorized Official Contact | 3016620099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Way Station, Inc. Po Box 3826 Frederick MD 21705-3826 Ph: (301) 662-0099 | Way Station, Inc. 121 Memorial Ave Cumberland MD 21502-4209 Ph: (301) 662-0099 |
| NPI Number | 1386169381 |
|---|---|
| Provider Enumeration Date | 08/10/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386169381 | NPI | - | NPPES |
| APPLYING | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | BH000455 (Maryland) | Primary |
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