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COMPASSIONATE WELLNESS CENTER LLC NPI 1578057899


NPI Information

NPI: 1578057899
Provider Name: COMPASSIONATE WELLNESS CENTER, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
44 N POTOMAC ST STE 101
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 513-6001
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COMPASSIONATE WELLNESS CENTER, LLC is a rehabilitation and substance use disorder clinic center in Hagerstown, MD. COMPASSIONATE WELLNESS CENTER, LLC NPI is 1578057899. The provider is registered as an organization entity type.

The provider's business location address is:

44 N POTOMAC ST STE 101
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 513-6001
Fax: (240) 513-6122

The provider's authorized official is Pamela N Zama .
The authorized official title is Coo and has the following contact phone number (240) 513-6001.

The enumeration date for this NPI number is 6/20/2018 and was last updated on 12/1/2020.


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
1261Q00000XClinic/CenterNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes
3251S00000XCommunity/Behavioral HealthNo

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
1986006100MEDICAIDMARYLAND

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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