BLACK ROCK INTEGRATIVE MEDICINE (NPI# 1285247817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285247817 |
| Entity Type | Organization |
| Organization Name | BLACK ROCK INTEGRATIVE MEDICINE |
| Practice Address |
17666 Technology Blvd Hagerstown MD 21740-2074 |
| Practice Telephone | 3017904938 |
| Practice Fax Number | 3018502135 |
| Mailing Telephone | 3017904938 |
| Mailing Fax Number | 3018502135 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | SHERI DENHAM (NP) |
| Authorized Official Telephone | 3017904938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| Street Address |
17666 TECHNOLOGY BLVD |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-2074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285102764 | Black Rock Integrative Medicine | Clinic/Center | 17666 Technology Blvd, Hagerstown, MD 21740-2074 | 2018-11-02 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037943 | Newlife Aspiration Behavioural Services, LLC | Clinic/Center | 9408 Morning Walk Dr, Hagerstown, MD 21740-1484 | 2020-06-16 |
| 1306466040 | Lifespan Integrative Mental Health and Wellness, LLC | Clinic/Center | 17 East Ave, Hagerstown, MD 21740-6669 | 2020-04-23 |
| 1730715202 | Compassionate Wellness Center, LLC | Clinic/Center | 44 N Potomac St Ste And102, Hagerstown, MD 21740-4855 | 2020-03-17 |
| 1134681216 | Innovative Therapeutic Services, Corp. | Clinic/Center | 20 W Washington St # 503, Hagerstown, MD 21740-4817 | 2019-04-05 |
| 1780141077 | New Refuge Counseling, LLC | Clinic/Center | 207 S Potomac St, Hagerstown, MD 21740-6004 | 2019-02-22 |
| 1508339995 | Innovative Therapeutic Services, Corp. | Clinic/Center | 20 W Washington St Ste 503, Hagerstown, MD 21740-4817 | 2019-01-08 |
| 1346778594 | New Refuge Counseling Center | Clinic/Center | 12801 Little Elliott Dr Apt 4, Hagerstown, MD 21742-2629 | 2017-06-01 |
| 1821253188 | Associated Catholic Charities | Clinic/Center | 324 E Antietam St Ste 307a, Hagerstown, MD 21740 | 2008-07-25 |
| 1801456546 | Compassionate Wellness Center, LLC | Clinic/Center | 44 N Potomac St Ste 101&102, Hagerstown, MD 21740-4855 | 2019-06-15 |
| 1235433467 | Associated Catholic Charities | Clinic/Center | 324 E Antietam St Ste 307a, Hagerstown, MD 21740-5768 | 2011-01-03 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21740 |
Please comment or provide details below to improve the information on BLACK ROCK INTEGRATIVE MEDICINE.
| 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.