| |
400 W 7th St Frederick MD 21701-4506 | |
(240) 566-3840 | |
(240) 566-3890 |
Full Name | |
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Speciality | Family Medicine |
Location | 400 W 7th St, Frederick, Maryland |
Authorized Official Name and Position | Michelle Mahan (SR VP AND CFO) |
Authorized Official Contact | 2405663355 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 W 7th St Frederick MD 21701-4506 Ph: (240) 566-3840 | 400 W 7th St Frederick MD 21701-4506 Ph: (240) 566-3840 |
NPI Number | 1881962454 |
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Provider Enumeration Date | 12/09/2011 |
Last Update Date | 01/24/2020 |
Identifier | Type | State | Issuer |
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1881962454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 |