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FREDERICK HEALTH MEDICAL GROUP LLC NPI 1447528013


NPI Information

NPI: 1447528013
Provider Name: FREDERICK HEALTH MEDICAL GROUP LLC

Former Legal Business Name: MONOCACY HEALTH PARTNERS LLC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 21D2135521

Address:
501 W 7TH ST
FREDERICK, MD
ZIP 21701
Phone: (240) 215-6310
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FREDERICK HEALTH MEDICAL GROUP LLC is an urgent care clinic center in Frederick, MD. FREDERICK HEALTH MEDICAL GROUP LLC NPI is 1447528013. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Monocacy Health Partners Llc.

The provider's business location address is:

501 W 7TH ST
FREDERICK, MD
ZIP 21701
Phone: (240) 215-6310
Fax: (301) 365-2581

The provider's authorized official is Michelle K Mahan .
The authorized official title is Sr Vp And Cfo and has the following contact phone number (240) 566-3355.

The CLIA number assigned to this NPI record is 21D2135521 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 1/24/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

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