Healthcare Provider Details

I. General information

NPI: 1164720835
Provider Name (Legal Business Name): WAR MEMORIAL HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2011
Last Update Date: 03/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 TONOLOWAY ST
HANCOCK MD
21750-1310
US

IV. Provider business mailing address

2 TONOLOWAY ST
HANCOCK MD
21750-1310
US

V. Phone/Fax

Practice location:
  • Phone: 301-678-6292
  • Fax: 301-678-5183
Mailing address:
  • Phone: 301-678-6292
  • Fax: 301-678-5183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0065436
License Number StateMD

VIII. Authorized Official

Name: MR. NEIL R. MCLAUGHLIN
Title or Position: PRESIDENT
Credential:
Phone: 304-258-1234