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PHOENIX OF HEALTH LLC NPI 1568850485


NPI Information

NPI: 1568850485
Provider Name: PHOENIX OF HEALTH, LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
221 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 420-0000
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PHOENIX OF HEALTH, LLC is a medical specialty clinic center in Hagerstown, MD. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PHOENIX OF HEALTH, LLC NPI is 1568850485. The provider is registered as an organization entity type.

The provider's business location address is:

221 E ANTIETAM ST
HAGERSTOWN, MD
ZIP 21740-724
Phone: (240) 420-0000
Fax: (240) 420-0002

The provider's authorized official is Joy Ramsay Farah .
The authorized official title is Chief Medical Director and has the following contact phone number (240) 420-0000.

The enumeration date for this NPI number is 12/30/2014 and was last updated on 12/30/2014.


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
1261QM2500XClinic/CenterMedical SpecialtyD0016982MARYLANDYes

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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