| West Cecil Health Center Inc. | |
|
49 Rock Springs Rd Conowingo MD 21918-1352 | |
| (410) 378-9696 | |
| (410) 378-0787 |
| Full Name | West Cecil Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 49 Rock Springs Rd, Conowingo, Maryland |
| Authorized Official Name and Position | John Ragnar Ness (PRESIDENT & CEO) |
| Authorized Official Contact | 4103789696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cecil Health Center Inc. Po Box 99 Conowingo MD 21918-0099 Ph: (410) 378-9696 | West Cecil Health Center Inc. 49 Rock Springs Rd Conowingo MD 21918-1352 Ph: (410) 378-9696 |
| NPI Number | 1366625089 |
|---|---|
| Provider Enumeration Date | 12/17/2007 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 6709964398 |
|---|---|
| Medicare Enrollment ID | O20080423000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366625089 | NPI | - | NPPES |
| 414977700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Rock Springs Rd, Conowingo, MD 21918 Phone: 410-378-9696 Fax: 410-378-0787 |