| West Cecil Health Center Inc. | |
|
253 Lewis Ln Ste 202 Havre De Grace MD 21078-3756 | |
| (443) 502-7060 | |
| (410) 378-9922 |
| Full Name | West Cecil Health Center Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 253 Lewis Ln Ste 202, Havre De Grace, Maryland |
| Authorized Official Name and Position | John Ragnar Ness (CEO/CFO) |
| Authorized Official Contact | 4103789696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cecil Health Center Inc. Po Box 99 Conowingo MD 21918-0099 Ph: (410) 378-9696 | West Cecil Health Center Inc. 253 Lewis Ln Ste 202 Havre De Grace MD 21078-3756 Ph: (443) 502-7060 |
| NPI Number | 1437697273 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 08/13/2024 |
| Medicare PECOS PAC ID | 6709964398 |
|---|---|
| Medicare Enrollment ID | O20170303000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437697273 | NPI | - | NPPES |
| 414977700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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