| Day Reporting Center | |
|
1302 Pennsylvania Ave Hagerstown MD 21742-3108 | |
| (240) 313-3492 | |
| Not Available |
| Full Name | Day Reporting Center |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 1302 Pennsylvania Ave, Hagerstown, Maryland |
| Authorized Official Name and Position | Jane Barlup (FISCAL ACCOUNTS CLERK) |
| Authorized Official Contact | 2403133492 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Day Reporting Center 101 Tandy Dr Hagerstown MD 21740-5180 Ph: () - | Day Reporting Center 1302 Pennsylvania Ave Hagerstown MD 21742-3108 Ph: (240) 313-3492 |
| NPI Number | 1114477890 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114477890 | NPI | - | NPPES |
| S285 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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