FREDERICK HEALTH HOSPITAL INC (NPI# 1124496161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124496161 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Other Organization Name | FMH URBANA LABORATORY |
| Practice Address |
3430 Worthington Blvd Frederick Frederick MD 21704-7017 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405663400 |
| Mailing Telephone | 2405663400 |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE MAHAN (CFO) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 090064 | MD | Laboratories |
| Other Name | Type Code |
|---|---|
| FMH Urbana Laboratory | Doing Business As Name - Organization |
| Frederick Health Laboratory | Doing Business As Name - Organization |
| Frederick Memorial Hospital Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| 1891154100 | Frederick Health Hospital Inc | Clinic/Center | 1562 Opossumtown Pike Ste 101, Frederick, MD 21702-4337 | 2016-02-15 |
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1336145127 | Frederick Health Hospital Inc | Occupational Therapist | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2005-06-27 |
| 1306842174 | Frederick Health Hospital Inc | Home Health | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2005-06-24 |
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1780284448 | Frederick Health Hospital Inc | Home Infusion | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2020-10-30 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1033605902 | Frederick Health Hospital Inc | Radiology | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| Street Address |
3430 WORTHINGTON BLVD FREDERICK |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704-7017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073511440 | Yvonne Townsley Anderson | Physical Therapist | 3430 Worthington Blvd, Suite 102, Frederick, MD 21704-7017 | 2005-07-11 |
| 1750748919 | Frederick Health Hospital Inc | Physical Therapist | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2016-01-19 |
| 1700268356 | Aneeqa Idrees | Family Medicine | 3430 Worthington Blvd, Frederick, MD 21704 | 2015-06-19 |
| 1780092916 | Frederick Health Medical Group LLC | Clinic/Center | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2014-07-31 |
| 1376830182 | Zoe L Ajebon | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2011-06-30 |
| 1295915981 | Rest Assured Sleep Centers, LLC | Durable Medical Equipment & Medical Supplies | 3430 Worthington Blvd, Suite 205, Frederick, MD 21704-7017 | 2007-11-09 |
| 1801814116 | Heather S Hall | Physician Assistant | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-07-17 |
| 1568436426 | Bonnie Fitleberg | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2006-02-15 |
| 1679551816 | B Adam Shanes | Family Medicine | 3430 Worthington Blvd, Frederick, MD 21704-7017 | 2006-01-06 |
| 1932190485 | Diana Juliano | Family Medicine | 3430 Worthington Blvd, Suite 103, Frederick, MD 21704-7017 | 2005-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| 1992160436 | Chesapeake Toxicology Resources, LLC | Clinical Medical Laboratory | 8415 Progress Dr, Suite V, Frederick, MD 21701-4760 | 2015-12-29 |
| 1710300579 | Patriot Medical Laboratories LLC | Clinical Medical Laboratory | 5330 Spectrum Dr Ste I, Frederick, MD 21703-7302 | 2014-01-30 |
| 1427322114 | Apex Diagnostic Services Inc | Clinical Medical Laboratory | 5111 Pegasus Ct, Ste A, Frederick, MD 21704-8318 | 2012-02-28 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1447619754 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 400 W 7th St, Frederick, MD 21701-4506 | 2016-02-15 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 1457730129 | Laboratory Corporation of America | Clinical Medical Laboratory | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2015-05-27 |
| 1750697504 | Zizi Inc | Clinical Medical Laboratory | 71 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-08-30 |
| 1134442957 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2010-03-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.