PHOENIX OF HEALTH, LLC (NPI# 1336537430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336537430 |
| Entity Type | Organization |
| Organization Name | PHOENIX OF HEALTH, LLC |
| Practice Address |
221 E Antietam St Hagerstown MD 21740-5724 |
| Practice Telephone | 2404200000 |
| Practice Fax Number | 2404200002 |
| Mailing Telephone | 2404200000 |
| Mailing Fax Number | 2404200002 |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2014-12-26 |
| Authorized Official Name | DR. JOY RAMSAY FARAH (CHEIF MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2404200000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | D0016982 | MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850485 | Phoenix of Health, LLC | Clinic/Center | 221 E Antietam St, Hagerstown, MD 21740-5724 | 2014-12-30 |
| Street Address |
221 E ANTIETAM ST |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568850485 | Phoenix of Health, LLC | Clinic/Center | 221 E Antietam St, Hagerstown, MD 21740-5724 | 2014-12-30 |
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|---|---|---|---|---|
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| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494810 | Hd Telecommunications LLC | Clinic/Center | 1280 Wesel Blvd Ste C, Hagerstown, MD 21740-5378 | 2020-10-12 |
| 1215560396 | Bridge To Holistic Healing, LLC | Clinic/Center | 223 N Prospect St Ste 306, Hagerstown, MD 21740-3783 | 2020-02-18 |
| 1013235894 | Massoud B. Alizadeh M.d.,pa | Clinic/Center | 240 Frederick St, Hagerstown, MD 21740-6100 | 2010-05-04 |
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| 1699056010 | Michael E Barvinchack, Dc, PC | Clinic/Center | 19426 Leitersburg Pike, Hagerstown, MD 21742-1468 | 2011-08-30 |
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| 1225055130 | Podiatry Associates of Hagerstown | Clinic/Center | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742 | 2006-07-16 |
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| 1396716130 | Meadow Dialysis Facility, Inc. | Clinic/Center | 11110 Medical Campus Rd, Suite 149, Hagerstown, MD 21742-6700 | 2006-01-30 |
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| 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.