| Bhg Medical Services - Maryland | |
|
217 East Antietam Street Obot Room # 100 Hagerstown MD 21740-5724 | |
| (240) 420-0000 | |
| (240) 420-0002 |
| Full Name | Bhg Medical Services - Maryland |
|---|---|
| Speciality | Clinic/Center |
| Location | 217 East Antietam Street, Hagerstown, Maryland |
| Authorized Official Name and Position | Jay Higham (CEO) |
| Authorized Official Contact | 2143656112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhg Medical Services - Maryland 5001 Spring Valley Road Suite 600 East Dallas TX 75244-3946 Ph: (214) 365-6100 | Bhg Medical Services - Maryland 217 East Antietam Street Obot Room # 100 Hagerstown MD 21740-5724 Ph: (240) 420-0000 |
| NPI Number | 1730866112 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 08/15/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 0648632158 |
|---|---|
| Medicare Enrollment ID | O20230816000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730866112 | NPI | - | NPPES |
| Provider Name | Cameron Dewayne Duffy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306874839 PECOS PAC ID: 8820993140 Enrollment ID: I20231004000344 |
| Provider Name | Miranda Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578804654 PECOS PAC ID: 5890931877 Enrollment ID: I20231114003620 |
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