| West Cecil Health Center Inc. | |
|
1319 Woodbridge Station Way Edgewood MD 21040-3852 | |
| (410) 378-9696 | |
| (410) 378-0787 |
| Full Name | West Cecil Health Center Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1319 Woodbridge Station Way, Edgewood, Maryland |
| Authorized Official Name and Position | John Ragnar Ness (CEO) |
| Authorized Official Contact | 4437312971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cecil Health Center Inc. Po Box 99 Conowingo MD 21918-0099 Ph: (443) 731-2977 | West Cecil Health Center Inc. 1319 Woodbridge Station Way Edgewood MD 21040-3852 Ph: (410) 378-9696 |
| NPI Number | 1528625332 |
|---|---|
| Provider Enumeration Date | 05/28/2019 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528625332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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West Cecil Health Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1918 Pulaski Hwy, Edgewood, MD 21040 Phone: 410-378-9696 Fax: 410-378-0787 |