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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
1251F00000XHome Infusion Agency

General Provider Information

NPI Number : 1780284448
Entity Type Code : Organization
Provider Name (Legal Business Name) : FREDERICK HEALTH HOSPITAL INC
Provider Business Mailing Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3222
Fax Number : 240-566-3961
Provider Business Practice Location Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3222
Fax Number : 240-566-3961
Authorized Official
Title or Position : SR. VP AND CFO
Name : MICHELLE K. MAHAN
Credential :
Telephone Number : 240-566-3337
Provider Enumeration Date : 10/30/2020
Last Update Date : 10/30/2020

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Directions to “FREDERICK HEALTH HOSPITAL INC ” Practice Location

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