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
1	225XH1200X	Hand Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1336145127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREDERICK HEALTH HOSPITAL INC

Provider Business Mailing Address
First Line	:	400 W 7TH ST
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-4506
Country	:	US
Telephone Number	:	240-566-3330
Fax Number	:	240-566-4872

Provider Business Practice Location Address
First Line	:	163 THOMAS JOHNSON DR
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21702-4673
Country	:	US
Telephone Number	:	240-566-3132
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MS. SHELBY BOGGS
Credential	:
Telephone Number	:	443-721-4452

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/23/2023

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Directions to “FREDERICK HEALTH HOSPITAL INC ” Practice Location

Language	Start Address	Practice Location

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