Organization
FREDERICK COUNTY HEPATITIS CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONSTANCE M. CALLAHAN (EXECUTIVE DIRECTOR)
(301) 600-3343
Entity
Organization
Contact information
Practice address
350 MONTEVUE LN, FREDERICK COUNTY HEPATITIS CLINIC, FREDERICK, MD 21702-8214
(300) 631-3343
(300) 631-3387
Mailing address
350 MONTEVUE LN, FREDERICK COUNTY HEPATITIS CLINIC, FREDERICK, MD 21702-8214
(300) 631-3343
(300) 631-3387
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102546
—
MD
01
—
30222
PRIORITY PARTNERS JHHC
MD
01
—
LS96
CAREFIRST BCBS
MD
Enumeration date
02/07/2007
Last updated
08/22/2020
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