| Black Rock Integrative Medicine | |
|
17666 Technology Blvd Hagerstown MD 21740-2074 | |
| (301) 790-4938 | |
| (301) 850-2135 |
| Full Name | Black Rock Integrative Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 17666 Technology Blvd, Hagerstown, Maryland |
| Authorized Official Name and Position | Sheri Denham (NURSE PRACTITIONER/ OWNER) |
| Authorized Official Contact | 3017904938 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Rock Integrative Medicine 20615 Woodbridge Dr Hagerstown MD 21742-3188 Ph: (301) 790-4938 | Black Rock Integrative Medicine 17666 Technology Blvd Hagerstown MD 21740-2074 Ph: (301) 790-4938 |
| NPI Number | 1285102764 |
|---|---|
| Provider Enumeration Date | 11/02/2018 |
| Last Update Date | 11/02/2018 |
| Medicare PECOS PAC ID | 1052793312 |
|---|---|
| Medicare Enrollment ID | O20220803000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285102764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Sheri Denham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295279214 PECOS PAC ID: 7618251315 Enrollment ID: I20170224000093 |
| Provider Name | Kelly Ann Nye Small |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063198810 PECOS PAC ID: 1153777297 Enrollment ID: I20231026001487 |
Dr Francisco L. Andrade Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 Mill St, Hagerstown, MD 21740 Phone: 301-739-6620 Fax: 301-739-6628 | |
Massoud B. Alizadeh M.d.,pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Frederick St, Hagerstown, MD 21740 Phone: 301-739-8049 Fax: 301-733-3287 | |
Complete Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Elgin Blvd, Suite 201, Hagerstown, MD 21740 Phone: 240-382-3554 Fax: 301-498-1439 | |
Nms Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14014 Marsh Pike, Hagerstown, MD 21742 Phone: 301-733-8700 | |
Meritus Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740 Phone: 301-790-9239 | |
Privia Medical Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13204 Fountain Head Plz, Hagerstown, MD 21742 Phone: 240-215-1138 | |
Robert J Trace Jr Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 E Antietam St, Hagerstown, MD 21740 Phone: 301-739-2560 Fax: 301-739-0266 |