Organization
HILLCREST SCHOOL-BASED HEALTH CENTER
Active
Parent organization
CITY OF FREDERICK
Other names
Frederick Community Action Agency
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITY OF FREDERICK
Authorized official
MICHAEL SPURRIER (DIRECTOR)
(301) 600-3955
Entity
Organization
Contact information
Practice address
1285 HILLCREST DR, FREDERICK, MD 21703-1396
(240) 236-3275
(240) 236-3293
Mailing address
100 S MARKET ST, FREDERICK, MD 21701-5527
(301) 600-1506
(301) 662-9079
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080142
DHMH LETTER OF PERMIT EXCEPTION
MD
Enumeration date
03/10/2017
Last updated
03/23/2017
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