| Phoenix Health Center, Llc | |
|
101 King St Hagerstown MD 21740-5732 | |
| (301) 447-2361 | |
| (301) 447-3673 |
| Full Name | Phoenix Health Center, Llc |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 101 King St, Hagerstown, Maryland |
| Authorized Official Name and Position | William J Roby (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3014472360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Health Center, Llc 101 King St Hagerstown MD 21740-5732 Ph: (301) 447-2361 | Phoenix Health Center, Llc 101 King St Hagerstown MD 21740-5732 Ph: (301) 447-2361 |
| NPI Number | 1992009864 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992009864 | NPI | - | NPPES |
| PENDING | Medicaid | MD |
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