WEST CECIL HEALTH CENTER INC. NPI 1437697273

NPI Information

NPI: 1437697273
Provider Name: WEST CECIL HEALTH CENTER INC.

Doing Business As: BEACON HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
253 LEWIS LN
HAVRE DE GRACE, MD
ZIP 21078
Phone: (443) 502-7060
Get Directions

WEST CECIL HEALTH CENTER INC. is a federally qualified health center (fqhc) clinic center in Havre De Grace, MD. WEST CECIL HEALTH CENTER INC. NPI is 1437697273. The provider is registered as an organization entity type.
The provider Is Doing Business As Beacon Health Center.

The provider's business location address is:

253 LEWIS LN
HAVRE DE GRACE, MD
ZIP 21078-750
Phone: (443) 502-7060
Fax: (410) 378-9922

The provider's authorized official is John Ragnar Ness .
The authorized official title is Interim Ceo/ Cfo and has the following contact phone number (410) 378-9696.

The CLIA number assigned to this NPI record is 21D2127219 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/1/2017 and was last updated on 3/2/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	414977700	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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