WALNUT STREET COMMUNITY HEALTH CENTER INC. NPI 1194276832

NPI Information

WALNUT STREET COMMUNITY HEALTH CENTER INC. is a dental clinic center in Hagerstown, MD. WALNUT STREET COMMUNITY HEALTH CENTER INC. NPI is 1194276832. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Healthcare Of Hagerstown.

The provider's business location address is:

201 S CLEVELAND AVE
HAGERSTOWN, MD
ZIP 21740-745
Phone: (301) 745-3777
Fax: (301) 393-3459

The provider's authorized official is David Becker .
The authorized official title is Cfo and has the following contact phone number (301) 745-3777.

The CLIA number assigned to this NPI record is 21D0893971 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2016 and was last updated on 7/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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