| Frederick County Hepatitis Clinic, Inc. | |
|
350 Montevue Ln Frederick County Hepatitis Clinic Frederick MD 21702-8214 | |
| (300) 631-3343 | |
| (300) 631-3387 |
| Full Name | Frederick County Hepatitis Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 350 Montevue Ln, Frederick, Maryland |
| Authorized Official Name and Position | Constance M. Callahan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3016003343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frederick County Hepatitis Clinic, Inc. 350 Montevue Ln Frederick County Hepatitis Clinic Frederick MD 21702-8214 Ph: (300) 631-3343 | Frederick County Hepatitis Clinic, Inc. 350 Montevue Ln Frederick County Hepatitis Clinic Frederick MD 21702-8214 Ph: (300) 631-3343 |
| NPI Number | 1184764268 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184764268 | NPI | - | NPPES |
| LS96 | Other | MD | CAREFIRST BCBS |
| 0102546 | Medicaid | MD | |
| 30222 | Other | MD | PRIORITY PARTNERS JHHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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