FREDERICK HEALTH HOSPITAL INC (NPI# 1710356829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710356829 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Other Organization Name | FMH CRESTWOOD LABORATORY |
| Practice Address |
7211 Bank Ct Frederick MD 21703-8483 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405663400 |
| Mailing Telephone | 2405663400 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE MAHAN (CFO) |
| Authorized Official Telephone | 2405663355 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 070151 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CLIA | 21D1074046 | 01 |
| Other Name | Type Code |
|---|---|
| FMH Crestwood Laboratory | Doing Business As Name - Organization |
| Frederick Health Laboratory | Doing Business As Name - Organization |
| Frederick Memorial Hospital Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| 1891154100 | Frederick Health Hospital Inc | Clinic/Center | 1562 Opossumtown Pike Ste 101, Frederick, MD 21702-4337 | 2016-02-15 |
| 1982600771 | Frederick Health Hospital Inc | Neuromusculoskeletal Medicine & OMM | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2005-06-27 |
| 1336145127 | Frederick Health Hospital Inc | Occupational Therapist | 163 Thomas Johnson Dr, Frederick, MD 21702-4673 | 2005-06-27 |
| 1306842174 | Frederick Health Hospital Inc | Home Health | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2005-06-24 |
| 1538165527 | Frederick Health Hospital Inc | Clinic/Center | 400 W 7th St, Frederick, MD 21701-4506 | 2005-06-23 |
| 1780284448 | Frederick Health Hospital Inc | Home Infusion | 1 Frederick Health Way, Frederick, MD 21701-9435 | 2020-10-30 |
| 1407480361 | Frederick Health Hospital Inc | Pharmacy | 400 W 7th St, Frederick, MD 21701-4506 | 2020-02-28 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1033605902 | Frederick Health Hospital Inc | Radiology | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| Street Address |
7211 BANK CT |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703-8483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396749834 | Melissa M Asuncion X | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2005-06-13 |
| 1396275244 | Karl Benjamin Genovese | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2017-06-14 |
| 1225570658 | Marcia Wolfinger | Counselor | 7211 Bank Ct, Frederick, MD 21703-8483 | 2016-11-16 |
| 1295288546 | Joanna Eaton | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2016-08-03 |
| 1871977793 | Pratik Shah | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-07-10 |
| 1114305224 | Katherine N Wyatt Fields | Dietitian, Registered | 7211 Bank Ct, Suite 240, Frederick, MD 21703-8483 | 2015-05-08 |
| 1720496573 | Frederick Health Medical Group LLC | Internal Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2014-07-24 |
| 1275971178 | Hassan Madani | Family Medicine | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-06-13 |
| 1780020735 | Frederick Health Hospital Inc | Occupational Therapist | 7211 Bank Ct, Frederick, MD 21703-8483 | 2013-05-17 |
| 1376987016 | Emily Sue Spear | Dietitian, Registered | 7211 Bank Ct, Frederick, MD 21703 | 2013-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861902959 | Kenny Chen | Optometrist | 5283 Corporate Dr Ste 201, Frederick, MD 21703 | 2017-10-03 |
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982109351 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2018-03-28 |
| 1992160436 | Chesapeake Toxicology Resources, LLC | Clinical Medical Laboratory | 8415 Progress Dr, Suite V, Frederick, MD 21701-4760 | 2015-12-29 |
| 1710300579 | Patriot Medical Laboratories LLC | Clinical Medical Laboratory | 5330 Spectrum Dr Ste I, Frederick, MD 21703-7302 | 2014-01-30 |
| 1427322114 | Apex Diagnostic Services Inc | Clinical Medical Laboratory | 5111 Pegasus Ct, Ste A, Frederick, MD 21704-8318 | 2012-02-28 |
| 1215423181 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 501 W 7th St, Frederick, MD 21701-4586 | 2018-07-03 |
| 1447619754 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 400 W 7th St, Frederick, MD 21701-4506 | 2016-02-15 |
| 1124496161 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 3430 Worthington Blvd, Frederick, Frederick, MD 21704-7017 | 2015-09-08 |
| 1457730129 | Laboratory Corporation of America | Clinical Medical Laboratory | 5100 Buckeystown Pike, Suite 186, Frederick, MD 21704-8336 | 2015-05-27 |
| 1750697504 | Zizi Inc | Clinical Medical Laboratory | 71 Thomas Johnson Dr, Frederick, MD 21702-4301 | 2010-08-30 |
| 1134442957 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2010-03-08 |
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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.