FREDERICK HEALTH HOSPITAL INC (NPI# 1447619754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447619754 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Other Organization Name | FREDERICK HEALTH LABORATORY |
| Practice Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405663300 |
| Mailing Telephone | 2405663300 |
| Enumeration Date | 2016-02-15 |
| 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 | 025 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | LABORATORY LICENSE | 025 | 01 |
| MD | CLIA | 21D0666322 | 01 |
| Other Name | Type Code |
|---|---|
| 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 |
400 W 7TH ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1356949788 | Marianne L. Hiles | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-16 |
| 1689271660 | Allison June Wadding | Nurse Anesthetist, Certified Registered | 400 W 7th St, Frederick, MD 21701-4506 | 2020-10-03 |
| 1184235681 | Sarah Queena D. Oliveira | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-08-10 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1053942284 | Roy Degrange Jr. | Registered Nurse | 400 W 7th St, Frederick, MD 21701-4506 | 2020-01-27 |
| 1326684051 | Fiona Dias | Social Worker | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-18 |
| 1891330908 | Heather Ashley Hayes | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-11-12 |
| 1528619376 | Margaret M Mcneill | Clinical Nurse Specialist | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-24 |
| 1477104560 | Luisa Buntin | Nurse Practitioner | 400 W 7th St, Frederick, MD 21701-4506 | 2019-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| 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 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 1124496161 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 3430 Worthington Blvd, Frederick, Frederick, MD 21704-7017 | 2015-09-08 |
| 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.