WALNUT STREET COMMUNITY HEALTH CENTER (NPI# 1104135268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104135268 |
| Entity Type | Organization |
| Organization Name | WALNUT STREET COMMUNITY HEALTH CENTER |
| Practice Address |
201 S Cleveland Ave Hagerstown MD 21740-5745 |
| Practice Telephone | 3017453777 |
| Practice Fax Number | 3013933463 |
| Mailing Telephone | 3017453777 |
| Mailing Fax Number | 3013933463 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | ANGELA MUNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 3017453777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
13994 | MD | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982804977 | Walnut Street Community Health Center | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2007-07-19 |
| Street Address |
201 S CLEVELAND AVE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346268182 | Joseph Bruce Burley | Dentist | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2006-07-18 |
| 1225546401 | Tiffani Sarah Graves | Dentist | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2018-01-22 |
| 1194276832 | Walnut Street Community Health Center Inc. | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2016-10-18 |
| 1568859437 | Mutsa Nyakabau | Pediatrics | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2015-04-18 |
| 1245623842 | Jamie Lynn Wagner | Nurse Practitioner | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2015-03-06 |
| 1528483161 | Jodi Mayo | Physician Assistant | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2014-02-19 |
| 1487930913 | Walnut Street Community Health Center Inc | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2011-10-28 |
| 1639337405 | Charles J Supernavage, Md, PC | Audiologist | 201 S Cleveland Ave, Suite 403, Hagerstown, MD 21740-5745 | 2008-05-29 |
| 1982804977 | Walnut Street Community Health Center | Clinic/Center | 201 S Cleveland Ave, Hagerstown, MD 21740-5745 | 2007-07-19 |
| 1083743439 | Calista Christine Dickey | Acupuncturist | 201 S Cleveland Ave, Suite 404, Hagerstown, MD 21740-5745 | 2007-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 1649828633 | Ihuoma Marvelous Udeagha | Nurse Practitioner | West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 | 2019-09-03 |
| 1831651157 | Rankin Physical Therapy, Inc. | Clinic/Center | 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 | 2019-04-04 |
| 1285195586 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 222 East Oak Ridge Dr. South Point Shopping Center, Suite 1850, Hagerstown, MD 21740 | 2019-03-28 |
| 1285108001 | Alternative Drig & Alcohol Counseling LLC | Counselor | 339 E Antietam Street, Hagerstown, MD 21740 | 2019-01-15 |
| 1093287617 | Brooke's House, Inc. | Clinic/Center | 17670 Technology Boulevard, Hagerstown, MD 21740 | 2018-12-20 |
| 1871096487 | Ashley Lawal | Behavioral Analyst | 649 Guilford Ave, Hagerstown, MD 21740 | 2018-03-10 |
| 1194231738 | Btst Services LLC | Community/Behavioral Health | 1301 W Washington St, 101, Hagerstown, MD 21740 | 2017-12-19 |
| 1811408057 | Compassionate Wellness Center, LLC | Nurse Practitioner | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740 | 2017-10-16 |
| Find all providers in zip 21740 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245864263 | Belinda A Forbes | Dentist | 8213 Flower Ave, Takoma Park, MD 20912-6858 | 2020-02-28 |
| 1083275077 | Catholic Charities Archdiocese of Washington | Dentist | 5859 Allentown Way, Temple Hills, MD 20748-2613 | 2019-06-21 |
| 1902318769 | Vanessa Gordon D. D, S | Dentist | 9131 Piscataway Rd Ste 210, Clinton, MD 20735-2578 | 2017-11-01 |
| 1528585247 | Michael Mendelson | Dentist | 4351 Garden City Dr, Landover, MD 20785-2223 | 2017-08-23 |
| 1720403280 | Janice De Vito | Dentist | 3700 Toone St, #1412, Baltimore, MD 21224-5173 | 2014-02-20 |
| 1215378385 | Cecelia Noel Calhoun-wells | Dentist | 14015 New Hampshire Ave, Silver Spring, MD 20904-6200 | 2013-07-17 |
| 1841557915 | Bramaramba Sruthi Paimagham | Dentist | 20680 Seneca Meadows Pkwy Ste 218, Germantown, MD 20876 | 2012-04-13 |
| 1154655884 | Calvert Memorial Hospital of Calvert County | Dentist | 11840 Hg Trueman Rd, Lusby, MD 20657-2999 | 2009-09-29 |
| 1922332659 | Calvert Memorial Hospital of Calvert County | Dentist | 2553 N Solomons Island Rd, Huntingtown, MD 20639 | 2009-09-29 |
| 1114155694 | Prince George's County Health Department | Dentist | 3003 Hospital Dr Ste 1048, Cheverly, MD 20785-1194 | 2009-06-23 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.