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General NPI Number Information
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NPI Number | 1538165527
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Entity Type | Organization
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Legal Business Name | FREDERICK HEALTH HOSPITAL INC
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 400 W 7TH ST
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City | FREDERICK
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State | MD
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Zip | 21701-4506
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Country | US
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Telephone | 240-566-3300
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Fax | 240-566-3892
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Provider Business Mailing Address
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Address Line | PO BOX 277045
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City | ATLANTA
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State | GA
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Zip | 30384-7045
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Country | US
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Telephone | 240-566-3300
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Fax | 240-566-3892
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Authorized Official
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Title or Position | AVP
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Name | MS. SHELBY BOGGS
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Credential |
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Telephone | 240-566-3557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 10001
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License Number State | MD
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