| Meadow Dialysis Facility, Inc. | |
|
12931 Oak Hill Ave Hagerstown MD 21742-2914 | |
| (301) 797-2311 | |
| (301) 733-4025 |
| Full Name | Meadow Dialysis Facility, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 12931 Oak Hill Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Susan H. Mckee (ADMINISTRATOR) |
| Authorized Official Contact | 3017972311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Dialysis Facility, Inc. 12931 Oak Hill Ave Hagerstown MD 21742-2914 Ph: (301) 797-2311 | Meadow Dialysis Facility, Inc. 12931 Oak Hill Ave Hagerstown MD 21742-2914 Ph: (301) 797-2311 |
| NPI Number | 1336110246 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336110246 | NPI | - | NPPES |
| E2534 | Other | MD | MARYLAND STATE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E2534 (Maryland) | Primary |
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