| Wells House Inc | |
|
124 E Baltimore St Hagerstown MD 21740-6104 | |
| (301) 739-7748 | |
| (304) 739-4001 |
| Full Name | Wells House Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 124 E Baltimore St, Hagerstown, Maryland |
| Authorized Official Name and Position | Maggie Funk (MEDICAL BILLER) |
| Authorized Official Contact | 3042740928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wells House Inc 124 E Baltimore St Hagerstown MD 21740-6104 Ph: (301) 739-7748 | Wells House Inc 124 E Baltimore St Hagerstown MD 21740-6104 Ph: (301) 739-7748 |
| NPI Number | 1578989216 |
|---|---|
| Provider Enumeration Date | 03/05/2014 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578989216 | NPI | - | NPPES |
| 548651300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | D0031880 (Maryland) | Primary |
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