| |
501 W 7th St Frederick MD 21701-4586 | |
(301) 360-2575 | |
Not Available |
Full Name | |
---|---|
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 |
---|---|
400 W 7th St Frederick MD 21701-4506 Ph: (240) 566-3337 | 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 |
Hillcrest School Based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1285 Hillcrest Dr, Frederick, MD 21703 Phone: 240-236-3275 Fax: 240-236-3293 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7407 Willow Rd, Frederick, MD 21702 Phone: 301-624-5270 Fax: 334-625-4520 | |
Premise Health Of Maryland Medical P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9021 Bennett Creek Blvd, Frederick, MD 21704 Phone: 240-346-3549 |