MERITUS MEDICAL CENTER, INC. (NPI# 1427675370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427675370 |
| Entity Type | Organization |
| Organization Name | MERITUS MEDICAL CENTER, INC. |
| Practice Address |
11110 Medical Campus Rd Ste 201 Hagerstown MD 21742-6797 |
| Mailing Address |
11116 Medical Campus Rd Hagerstown MD 21742-6710 |
| Practice Telephone | 3017144025 |
| Practice Fax Number | 3017144026 |
| Mailing Telephone | 3017908000 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | THOMAS T CHAN (CFO) |
| Authorized Official Telephone | 3017908103 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERITUS MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Meritus Total Rehab Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290077 | Meritus Medical Center, Inc. | Home Health | 1799 Howell Rd, Hagerstown, MD 21740-6638 | 2005-10-28 |
| 1598374266 | Meritus Medical Center, Inc. | Clinic/Center | 13620 Crayton Blvd, Hagerstown, MD 21742-2335 | 2020-07-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERITUS MEDICAL CENTER, INC. | 11116 Medical Campus Rd, Hagerstown, MD 21742-6710 |
| Street Address |
11110 MEDICAL CAMPUS RD STE 201 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635665 | Brittany Witt | Occupational Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2016-08-31 |
| 1699373795 | Alicia Hamas | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2020-10-12 |
| 1710526389 | Joan Divinagracia | Physical Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2019-12-31 |
| 1881177947 | Ryan Christopher Adams | Occupational Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2018-09-13 |
| 1598244535 | Tiffany Vera | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2018-08-10 |
| 1558807008 | Jaclyn Ceroy | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2017-01-09 |
| 1649728205 | Carolyn Bradley | Physical Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2016-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799008 | Meritus Medical Center Inc | Clinic/Center | 18714 N Village, Hagerstown, MD 21742-2454 | 2020-08-03 |
| 1598374266 | Meritus Medical Center, Inc. | Clinic/Center | 13620 Crayton Blvd, Hagerstown, MD 21742-2335 | 2020-07-28 |
| 1053706648 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1175 Professional Ct, C/o Ssa Hagerstown Alf, LLC, Hagerstown, MD 21740-5906 | 2015-04-01 |
| 1003911769 | Physiotherapy Associates Inc | Clinic/Center | 322 E Antietam St, Suite 104, Hagerstown, MD 21740-5736 | 2006-09-14 |
| 1659391068 | Meritus Medical Center Inc | Clinic/Center | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1790398618 | Holistic Health- Counseling & Coaching LLC | Clinic/Center | 2453 Maryland Ave Fl 1, Baltimore, MD 21218-5018 | 2020-08-29 |
| 1427669159 | Phaze Counseling Services Inc | Clinic/Center | 4425 Fitch Ave Ste 118, Nottingham, MD 21236-3927 | 2020-08-14 |
| 1154931962 | Lifebridge Sports Medicine and Rehabilitation LLC | Clinic/Center | 41 Magna Way Ste 140, Westminster, MD 21157-3073 | 2020-08-06 |
| 1821606583 | Fine, Bryant & Wah, Inc. | Clinic/Center | 1707 Whetstone Way, Baltimore, MD 21230-5198 | 2020-07-20 |
| 1912520685 | Recovery Center of Maryland | Clinic/Center | 211 E 25th St, Baltimore, MD 21218-5217 | 2020-05-28 |
| 1013546944 | National Rehabiliation Hospital, Inc | Clinic/Center | 1838 Greene Tree Rd Ste 245, Baltimore, MD 21208-7110 | 2020-04-02 |
| 1831734920 | On Track Rehabilitation, LLC | Clinic/Center | 3702 Brenbrook Dr, Randallstown, MD 21133-4116 | 2019-11-12 |
| 1184277303 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 1305 S Salisbury Blvd Unit 5, Salisbury, MD 21801-6845 | 2019-07-17 |
| 1235791625 | Focused Care, LLC | Clinic/Center | 8070 Georgia Ave Ste 605, Silver Spring, MD 20910-4948 | 2019-07-05 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.