Organization
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
Active
Parent organization
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
Other names
Family Healthcare of Hagerstown
Organization subpart
Yes
Provider details
NPI number
Legal business name
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
Authorized official
DAVID F BECKER (CFO)
(301) 745-3777
Entity
Organization
Contact information
Practice address
221 E BALTIMORE ST, HAGERSTOWN, MD 21740-6109
(301) 745-3777
Mailing address
201 S CLEVELAND AVE, HAGERSTOWN, MD 21740-5745
(301) 745-3777
(301) 393-3459
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401662900
—
MD
Enumeration date
10/31/2018
Last updated
07/22/2020
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