PHOENIX HEALTH CENTER, LLC (NPI# 1992009864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992009864 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEALTH CENTER, LLC |
| Practice Address |
101 King St Hagerstown MD 21740-5732 |
| Practice Telephone | 3014472361 |
| Practice Fax Number | 3014473673 |
| Mailing Telephone | 3014472361 |
| Mailing Fax Number | 3014473673 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | MR. WILLIAM J ROBY (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3014472360 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD | Allopathic & Osteopathic Physicians | |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD | Allopathic & Osteopathic Physicians | |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MD | Ambulatory Health Care Facilities | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MD | Ambulatory Health Care Facilities | |
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
MD | Ambulatory Health Care Facilities | |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MD | Behavioral Health & Social Service Providers | |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MD | Behavioral Health & Social Service Providers | |
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
MD | Behavioral Health & Social Service Providers | |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
MD | Behavioral Health & Social Service Providers | |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD | Allopathic & Osteopathic Physicians | |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD | Allopathic & Osteopathic Physicians | |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
MD | Allopathic & Osteopathic Physicians | |
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | PENDING | 05 |
| Street Address |
101 KING ST |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21740-5732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877426 | Shaynee Ann Barcelona Araneta | Physical Medicine & Rehabilitation | 17303 Kilpatrick Ct, Hagerstown, MD 21740 | 2020-09-25 |
| 1265081319 | Jes Right Care Dba Right At Home | In Home Supportive Care | 223 N. Pospect Street, Suite 203, Hagerstown, MD 21740 | 2019-09-10 |
| 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 | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912101064 | Metro Treatment of Maryland | Clinic/Center | 217 E Antietam St, Hagerstown, MD 21740-5724 | 2007-06-13 |
| 1679971097 | Phoenix Health Center | Clinic/Center | 217 E Antietam St, Hagerstown, MD 21740-5724 | 2014-12-17 |
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|---|---|---|---|---|
| 1144841453 | Focus Recovery Center LLC | Clinic/Center | 801 Toll House Ave # B1&b2, Frederick, MD 21701-4564 | 2020-04-28 |
| 1093351678 | Cecil Community Recovery Center LLC | Clinic/Center | 409/411 W Pulaski Hwy, Elkton, MD 21921 | 2019-11-19 |
| 1538700372 | Open Arms & Hearts Health Services, LLC | Clinic/Center | 1532 Ocean Hwy Unit 101104, Pocomoke City, MD 21851-3023 | 2019-10-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1396300398 | Bel Air Recovery Center, LLC | Clinic/Center | 2014 S Tollgate Rd Ste 106, Bel Air, MD 21015-5906 | 2019-05-06 |
| 1194295840 | Genesis Treatment Services, LLC | Clinic/Center | 1160 W Patrick St, Frederick, MD 21703-3962 | 2018-11-26 |
| 1386128387 | Veni Vidi Vici Treatment Services, LLC. | Clinic/Center | 4b North Ave Ste 302, Bel Air, MD 21014-2304 | 2018-09-17 |
| 1447730890 | Evergreen Treatment Services LLC | Clinic/Center | 2120 Pulaski Hwy, Havre De Grace, MD 21078-2127 | 2018-08-15 |
| 1659861607 | Winchester Health LLC | Clinic/Center | 1315 Bloomingdale Rd, Baltimore, MD 21216-3922 | 2018-05-15 |
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| 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.