FREDERICK HEALTH HOSPITAL INC (NPI# 1982109351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982109351 |
| Entity Type | Organization |
| Organization Name | FREDERICK HEALTH HOSPITAL INC |
| Other Organization Name | FREDERICK HEALTH HEMATOLOGY LABORATORY |
| Practice Address |
1562 Opossumtown Pike Ste 103 Frederick MD 21702-4337 |
| Mailing Address |
400 W 7th St Frederick MD 21701-4506 |
| Practice Telephone | 2405664500 |
| Mailing Telephone | 2405663337 |
| Mailing Fax Number | 2405664872 |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | MICHELLE K. MAHAN (SR. VP FINANCE AND CFO) |
| Authorized Official Telephone | 2405663337 |
| 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 | 21D0692298 | MD | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CLIA | 21D0692298 | 01 |
| Other Name | Type Code |
|---|---|
| FMH Cancer Institute Laboratory | Doing Business As Name - Organization |
| Frederick Health Hematology Laboratory | Doing Business As Name - Organization |
| Frederick Memorial Hospital Inc | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1447619754 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 400 W 7th St, Frederick, MD 21701-4506 | 2016-02-15 |
| Street Address |
1562 OPOSSUMTOWN PIKE STE 103 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939052 | Frederick Health Medical Group LLC | Internal Medicine | 1562 Opossumtown Pike Ste 103, Frederick, MD 21702-4337 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1710356829 | Frederick Health Hospital Inc | Clinical Medical Laboratory | 7211 Bank Ct, Frederick, MD 21703-8483 | 2015-09-18 |
| 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 |
| 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.