CITY OF FREDERICK (NPI# 1588105316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588105316 |
| Entity Type | Organization |
| Organization Name | CITY OF FREDERICK |
| Other Organization Name | FREDERICK COMMUNITY ACTION AGENCY |
| Practice Address |
100 S Market St Frederick MD 21701-5527 |
| Practice Telephone | 3016001506 |
| Mailing Telephone | 3016001506 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | MICHAEL SPURRIER (DIRECTOR) |
| Authorized Official Telephone | 3016003955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CLIA | 21D0885241 | 01 |
| Other Name | Type Code |
|---|---|
| Frederick Community Action Agency | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550115 | City of Frederick | Nursing Facility/Intermediate Care Facility | 319 E. Josephine, Frederick, OK 73542 | 2005-12-27 |
| 1831202902 | City of Frederick | Clinic/Center | 100 S Market St, Frederick, MD 21701-5527 | 2006-08-16 |
| Street Address |
100 S MARKET ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792081 | Maria Elena Adrianza-tangrea | Physician Assistant | 100 S Market St, Frederick, MD 21701-5527 | 2005-07-01 |
| 1053676601 | Robin Suzanne Hull | Nurse Practitioner | 100 S Market St, Frederick, MD 21701-5527 | 2012-07-10 |
| 1831202902 | City of Frederick | Clinic/Center | 100 S Market St, Frederick, MD 21701-5527 | 2006-08-16 |
| 1235242249 | Jane Towers Ix | Nurse Practitioner | 100 S Market St, Frederick, MD 21701-5527 | 2006-08-16 |
| 1669401857 | Michael F Flessner | Internal Medicine | 100 S Market St, Frederick Community Action Agency, Frederick, MD 21701-5527 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134660822 | Lincoln School-based Health Center | Clinic/Center | 200 Madison St, Frederick, MD 21701-6536 | 2017-03-14 |
| 1285175299 | Hillcrest School-based Health Center | Clinic/Center | 1285 Hillcrest Dr, Frederick, MD 21703-1396 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625332 | West Cecil Health Center Inc. | Clinic/Center | 1319 Woodbridge Station Way, Edgewood, MD 21040-3852 | 2019-05-28 |
| 1770044513 | Mobile Medical Care, Inc. | Clinic/Center | 8106 Georgia Ave, Silver Spring, MD 20910-4991 | 2019-03-26 |
| 1013478858 | Mobile Medical Care, Inc. | Clinic/Center | 600 E Gude Dr Bldg A, Rockville, MD 20850-1326 | 2019-03-26 |
| 1326505090 | Community Clinic Inc. | Clinic/Center | 7474 Greenway Center Dr # 300, Greenbelt, MD 20770-3504 | 2019-02-28 |
| 1497222103 | Walnut Street Community Health Center, Inc. | Clinic/Center | 221 E Baltimore St, Hagerstown, MD 21740-6109 | 2018-10-31 |
| 1689160848 | West Cecil Health Center Inc. | Clinic/Center | 200 Road B, Elkton, MD 21921-6695 | 2018-07-10 |
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1598251753 | West Cecil Health Center Inc. | Clinic/Center | 233 S Bohemia Ave, Cecilton, MD 21913-1010 | 2018-07-10 |
| 1811403264 | Mary's Center for Maternal and Child Care, Inc- Smart | Clinic/Center | 8910 Riggs Rd, Adelphi, MD 20783-1632 | 2017-12-21 |
| 1669985032 | Choptank Community Health System Inc | Clinic/Center | 21374 Foster Ave, Tilghman, MD 21671-1230 | 2017-11-08 |
| Find all providers with the same taxonomy | ||||
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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.