FREDERICK MEMORIAL HOSPITAL INC (NPI# 1861498826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861498826 |
| Entity Type | Organization |
| Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Other Organization Name | FMH HOME MEDICAL EQUIPMENT AND SUPPLIES |
| Practice Address |
605 E Church St Frederick MD 21701-5705 |
| Mailing Address |
Po Box 1093 Frederick MD 21702-0093 |
| Practice Telephone | 2405663099 |
| Mailing Telephone | 2405663099 |
| Mailing Fax Number | 2405663091 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | MS. MICHELLE K MAHAN (SR VICE PRESIDENT AND CFO) |
| Authorized Official Telephone | 3016983350 |
| Is Organization Subpart | Y |
| Parent Organization Name | FREDERICK MEMORIAL HOSPITAL INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | R1154 | MD | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COVENTRY HEALTHCARE OF DE | 210793 | 01 | |
| MD | 110378400 | 05 | |
| CAREFIRST BCBS GHMSI | F714 | 01 | |
| NCPPO | 614933 | 01 | |
| UNITED | 1909290 | 01 | |
| UNITED MAMSI | 2102784 | 01 | |
| CAREFIRST BCBS MARYLAND | Y597 | 01 |
| Other Name | Type Code |
|---|---|
| FMH Home Medical Equipment and Supplies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922434067 | Frederick Memorial Hospital Inc | Clinic/Center | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-09-20 |
| 1285069427 | Frederick Memorial Hospital Inc | Dietitian, Registered | 5500 Buckeystown Pike, Frederick, MD 21703-8331 | 2013-09-06 |
| 1730525775 | Frederick Memorial Hospital Inc | Physical Therapist | 1562 Opossumtown Pike, Frederick, MD 21702-4337 | 2013-05-17 |
| 1316290422 | Frederick Memorial Hospital Inc | Surgery | 7211 Bank Ct, Frederick, MD 21703-8483 | 2012-10-26 |
| 1083998348 | Frederick Memorial Hospital Inc | Orthopaedic Surgery | 52 Thomas Johnson Dr, Frederick, MD 21702-4501 | 2011-10-05 |
| 1477866127 | Frederick Memorial Hospital Inc | Urology | 900 Toll House Ave, Frederick, MD 21701-4547 | 2010-07-23 |
| 1568781821 | Frederick Memorial Hospital Inc | Pain Medicine | 516 Trail Ave, Frederick, MD 21701-4942 | 2010-05-26 |
| 1215265996 | Frederick Memorial Hospital Inc | Pediatrics | 400 W 7th St, Frederick, MD 21701-4506 | 2009-11-18 |
| 1437389830 | Frederick Memorial Hospital Inc | Surgery | 1564 Opossumtown Pike, Frederick, MD 21702-4359 | 2009-07-20 |
| 1326299835 | Frederick Memorial Hospital Inc | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2008-10-02 |
| Street Address |
605 E CHURCH ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184027914 | Amy Gentry | Physical Therapist | 605 E Church St, Frederick, MD 21701-5705 | 2014-10-07 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831741727 | Roberts Home Medical LLC | Durable Medical Equipment & Medical Supplies | 172 Thomas Johnson Dr Ste 101, Frederick, MD 21702-4402 | 2019-07-11 |
| 1477020402 | Advanced Spine Endoscopy and Pain Institute | Durable Medical Equipment & Medical Supplies | 915 Toll House Ave Ste 207, Frederick, MD 21701-5901 | 2018-10-29 |
| 1194259937 | Fulton Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 622 N Market St, Frederick, MD 21701-5245 | 2017-04-19 |
| 1407103559 | Global Health Resources, Inc. | Durable Medical Equipment & Medical Supplies | 6814 Blentlinger Rd, Frederick, MD 21702-3603 | 2012-08-08 |
| 1982976577 | Asthma Management Group Resources | Durable Medical Equipment & Medical Supplies | 7215 Corporate Ct, Suite 2a, Frederick, MD 21703-8386 | 2012-01-30 |
| 1861799249 | First Durable Medical Supply | Durable Medical Equipment & Medical Supplies | 250 W Patrick St, Suite 1, Frederick, MD 21701-6945 | 2011-02-20 |
| 1912230855 | Specialized Orthotic Systems | Durable Medical Equipment & Medical Supplies | 4812 Crane Ct, Frederick, CO 80504-5552 | 2009-09-10 |
| 1558508457 | Pt Medical, LLC | Durable Medical Equipment & Medical Supplies | 1805 Derrs Ct, Frederick, MD 21701-2519 | 2009-01-14 |
| 1538334222 | Adam Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7215 Corporate Ct Ste 201, Frederick, MD 21703-8490 | 2008-04-24 |
| 1649454224 | Manual Daniel Debarros | Durable Medical Equipment & Medical Supplies | 6003 Elmer Derr Rd, Frederick, MD 21703-7417 | 2007-12-19 |
| Find all providers in FREDERICK | ||||
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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.