| Frederick Health Medical Group Llc | |
|
501 W 7th St Frederick MD 21701-4586 | |
| (301) 360-2575 | |
| Not Available |
| Full Name | Frederick Health Medical Group Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 501 W 7th St, Frederick, Maryland |
| Authorized Official Name and Position | Michelle K Mahan (SR. VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 2405663355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick Health Medical Group Llc 400 W 7th St Frederick MD 21701-4506 Ph: (240) 566-3337 | Frederick Health Medical Group Llc 501 W 7th St Frederick MD 21701-4586 Ph: (301) 360-2575 |
| NPI Number | 1285156091 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 01/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285156091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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