JARRETT CORPORATION


Address: 45 Waverley Dr, Suite O, Frederick, MD 21702-4854
Phone: 3016245999

JARRETT CORPORATION (NPI# 1285006288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285006288
Entity Type Organization
Organization Name JARRETT CORPORATION
Other Organization Name FREDERICK FAMILY MEDICAL CLINIC
Practice Address 45 Waverley Dr
Suite O
Frederick
MD 21702-4854
Practice Telephone 3016245999
Practice Fax Number 3016245997
Mailing Telephone 3016245999
Mailing Fax Number 3016245997
Enumeration Date 2015-10-29
Last Update Date 2016-07-15
Authorized Official Name DR. INNOCENT MONYA-TAMBI (ATTENDING PHYSICIAN)
Authorized Official Telephone 4433705348
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
D0076463 MD Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Frederick Family Medical Clinic Doing Business As Name - Organization

Office Location

Street Address 45 WAVERLEY DR
SUITE O
City FREDERICK
State MD
Zip Code 21702-4854

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1528416740 Mission of Mercy, Inc Clinic/Center 22 S Market St Ste 6d, Frederick, MD 21701-5572 2016-05-27
1801194709 Pnj Primary Care LLC Clinic/Center 5100 Buckeystown Pike Ste 186, Frederick, MD 21704-8337 2011-03-02
1306180013 Maryland Medical Services LLC Clinic/Center 1090 W Patrick St, Unit 2a, Frederick, MD 21703-3967 2012-11-19
1619005741 Drs. Rohrer and Zarick, LLC Clinic/Center 15 W 7th St, Frederick, MD 21701-4501 2007-03-01
1831202902 City of Frederick Clinic/Center 100 S Market St, Frederick, MD 21701-5527 2006-08-16

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Competitor

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City FREDERICK
Zip Code 21702

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Dataset Information

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.

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