BLACK ROCK INTEGRATIVE MEDICINE (NPI# 1285102764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285102764 |
| Entity Type | Organization |
| Organization Name | BLACK ROCK INTEGRATIVE MEDICINE |
| Practice Address |
17666 Technology Blvd Hagerstown MD 21740-2074 |
| Mailing Address |
20615 Woodbridge Dr Hagerstown MD 21742-3188 |
| Practice Telephone | 3017904938 |
| Practice Fax Number | 3018502135 |
| Mailing Telephone | 3017904938 |
| Mailing Fax Number | 3018502135 |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |
| Authorized Official Name | MRS. SHERI DENHAM (NURSE PRACTITIONER/ OWNER) |
| Authorized Official Telephone | 3017904938 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247817 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2020-08-24 |
| Street Address |
17666 TECHNOLOGY BLVD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247817 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2020-08-24 |
| 1003387200 | Brooke's House, Inc. | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-12-16 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558974543 | Dgd Healthcare Solutions,llc | Clinic/Center | 1210 Northern Lights Dr, Upper Marlboro, MD 20774-6049 | 2020-08-28 |
| 1376160382 | Trinity Family and Behavioral Health Services LLC | Clinic/Center | 15612 Norus St, Upper Marlboro, MD 20772-8253 | 2020-06-25 |
| 1255951372 | Holistic Touch Healthcare LLC | Clinic/Center | 1412 Crain Hwy N Ste 3a, Glen Burnie, MD 21061-7000 | 2020-04-18 |
| 1265068373 | Bodyworks Medical | Clinic/Center | St. Agnes Medical Center, 3455 Wilkens Ave Suite 100, Baltimore, MD 21229 | 2020-03-20 |
| 1629615901 | Regen Medical LLC | Clinic/Center | 3916 Hickory Ave, Baltimore, MD 21211-1834 | 2019-12-05 |
| 1427609429 | Active Spine & Rehab, LLC | Clinic/Center | 802 Cromwell Park Dr, Glen Burnie, MD 21061-2563 | 2019-09-23 |
| 1144888025 | Ethos Health Maryland 1, LLC | Clinic/Center | 4940 Campbell Blvd Ste 130, Nottingham, MD 21236-5910 | 2019-06-05 |
| 1740847201 | Swiftcare Family Clinic and Wellness Inc | Clinic/Center | 1841/1843 Brightseat Road, Landover, MD 20785-2078 | 2019-05-21 |
| 1639664683 | The Heard Group, LLC | Clinic/Center | 6284 Hard Bargain Cir, Indian Head, MD 20640 | 2018-06-22 |
| 1912407891 | Adoni Healthcare Services, LLC | Clinic/Center | 7525 Greenway Center Dr Ste 316, Greenbelt, MD 20770 | 2018-02-16 |
| 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.