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WALNUT STREET COMMUNITY HEALTH CENTER INC. NPI 1497222103


NPI Information

NPI: 1497222103
Provider Name: WALNUT STREET COMMUNITY HEALTH CENTER, INC.

Doing Business As: FAMILY HEALTHCARE OF HAGERSTOWN

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
221 E BALTIMORE ST
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 745-3777
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WALNUT STREET COMMUNITY HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Hagerstown, MD. WALNUT STREET COMMUNITY HEALTH CENTER, INC. NPI is 1497222103. 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:

221 E BALTIMORE ST
HAGERSTOWN, MD
ZIP 21740-109
Phone: (301) 745-3777

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

The enumeration date for this NPI number is 10/31/2018 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1401662900MEDICAIDMARYLAND

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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