| Frederick Community Action Agency | |
|
1285 Hillcrest Dr Frederick MD 21703-1396 | |
| (240) 236-3275 | |
| (240) 236-3293 |
| Full Name | Frederick Community Action Agency |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1285 Hillcrest Dr, Frederick, Maryland |
| Authorized Official Name and Position | Michael Spurrier (DIRECTOR) |
| Authorized Official Contact | 3016003955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Community Action Agency 100 S Market St Frederick MD 21701-5527 Ph: (301) 600-1506 | Frederick Community Action Agency 1285 Hillcrest Dr Frederick MD 21703-1396 Ph: (240) 236-3275 |
| NPI Number | 1285175299 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 03/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285175299 | NPI | - | NPPES |
| 080142 | Other | MD | DHMH LETTER OF PERMIT EXCEPTION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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