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NPI Code Detail

MEDICARE: FREDERICK HEALTH HOSPITAL INC

MEDICARE: FREDERICK HEALTH HOSPITAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyH1516MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205832268
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERICK HEALTH HOSPITAL INC
Provider Business Mailing Address
First Line : PO BOX 1093
Second Line :
City : FREDERICK
State : MD
Zip : 21702-0093
Country : US
Telephone Number : 240-566-3030
Fax Number :
Provider Business Practice Location Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3030
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT AND CFO
Name : MS. MICHELLE K MAHAN
Credential :
Telephone Number : 240-566-3355
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/16/2020

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Directions to “FREDERICK HEALTH HOSPITAL INC ” Practice Location

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