Organization
FREDERICK HEALTH HOSPITAL INC
Active
Parent organization
FREDERICK HEALTH HOSPITAL INC
Other names
Frederick Health Hospice, Frederick Memorial Hospital Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK HEALTH HOSPITAL INC
Authorized official
MICHELLE K MAHAN (EXECUTIVE VICE PRESIDENT, CFO)
(240) 566-3355
Entity
Organization
Contact information
Practice address
516 TRAIL AVE, FREDERICK, MD 21701-4933
(240) 566-3030
Mailing address
PO BOX 1799, FREDERICK, MD 21702-0799
(240) 566-3030
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213291500
PHYSICIAN BILLING ID
MD
Enumeration date
07/10/2007
Last updated
01/24/2020
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