Healthcare Provider Details

I. General information

NPI: 1629996590
Provider Name (Legal Business Name): FREDERICK HEALTH HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 THOMAS JOHNSON DR STE B
FREDERICK MD
21702-4683
US

IV. Provider business mailing address

400 W 7TH ST
FREDERICK MD
21701-4506
US

V. Phone/Fax

Practice location:
  • Phone: 301-418-6434
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JENNY FITZPATRICK
Title or Position: DIRECTOR, PROFESSIONAL FEES REVENUE
Credential:
Phone: 240-439-8774