Organization
PHOENIX HEALTH CENTER
Active
Organization
PHOENIX HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY HIGHAM (CEO)
(214) 365-6112
Entity
Organization
Contact information
Practice address
217 E ANTIETAM ST, HAGERSTOWN, MD 21740-5724
(240) 420-0000
(240) 420-0002
Mailing address
1003 THE TER, HAGERSTOWN, MD 21742-3227
(240) 420-0000
(240) 420-0002
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2057137
MD
Other
Enumeration date
03/30/2015
Last updated
12/23/2024
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