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BROOK LANE HEALTH SERVICES NPI 1558333138


NPI Information

NPI: 1558333138
Provider Name: BROOK LANE HEALTH SERVICES

Other Name: ADULT PHP

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization
Address:
13215 BROOK LANE
HAGERSTOWN, MD
ZIP 21742
Phone: (301) 733-0330
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BROOK LANE HEALTH SERVICES is a psychiatric hospital in Hagerstown, MD. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. BROOK LANE HEALTH SERVICES NPI is 1558333138. The provider is registered as an organization entity type.
The provider Other Name Is Adult Php.

The provider's business location address is:

13215 BROOK LANE
HAGERSTOWN, MD
ZIP 21742-435
Phone: (301) 733-0330
Fax: (301) 733-4038

The provider's authorized official is Deborah L. Bisenieks .
The authorized official title is Physician Manager and has the following contact phone number (301) 733-0331.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 10/2/2018.


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
1283Q00000XPsychiatric Hospital3016MARYLANDYes

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
163503100MEDICAIDMARYLAND

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.