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201 Thomas Johnson Dr Suite 104 Frederick MD 21702-5166 | |
(301) 360-0776 | |
(301) 631-8443 |
Full Name | |
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Speciality | Clinic/center |
Location | 201 Thomas Johnson Dr, Frederick, Maryland |
Authorized Official Name and Position | Jason Kent Hunter (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 3013600776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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201 Thomas Johnson Dr Suite 104 Frederick MD 21702-5166 Ph: (301) 360-0776 | 201 Thomas Johnson Dr Suite 104 Frederick MD 21702-5166 Ph: (301) 360-0776 |
NPI Number | 1013199298 |
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Provider Enumeration Date | 11/29/2007 |
Last Update Date | 04/22/2009 |
Identifier | Type | State | Issuer |
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1013199298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | D0062957 (Maryland) | Primary |
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 |