| Meadow Dialysis Facility, Inc. | |
|
11110 Medical Campus Rd Suite 149 Hagerstown MD 21742-6700 | |
| (240) 313-9620 | |
| (240) 313-9630 |
| Full Name | Meadow Dialysis Facility, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 11110 Medical Campus Rd, Hagerstown, Maryland |
| Authorized Official Name and Position | Susan H. Mckee (ADMINISTRATOR) |
| Authorized Official Contact | 3017972311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meadow Dialysis Facility, Inc. 12931 Oak Hill Ave Hagerstown MD 21742-2914 Ph: (301) 797-2311 | Meadow Dialysis Facility, Inc. 11110 Medical Campus Rd Suite 149 Hagerstown MD 21742-6700 Ph: (240) 313-9620 |
| NPI Number | 1396716130 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396716130 | NPI | - | NPPES |
| E2627 | Other | MD | MARYLAND LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | E2627 (Maryland) | Primary |
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