Organization Active NPI

Hillcrest School Based Health Center

  • Student Health Clinic/Center
  • Frederick, MD
National Provider Identifier
1013145473
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
HILLCREST SCHOOL BASED HEALTH CENTER
Practice address
1285 Hillcrest Dr
Frederick, MD 21703-1396
Phone
(240) 236-3275
Fax
(240) 236-3293
NPI assigned
Jun 24, 2009
Organization subpart
Yes
Parent organization
CITY OF FREDERICKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ramenta Cottrell
Title
Director
Phone
(301) 600-3955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1285 Hillcrest Dr
Frederick, MD 21703-1396

Mailing address

100 S Market St
Frederick, MD 21701-5527
Phone (301) 600-1506

Other identifiers 1

IdentifierTypeStateIssuer
200175600MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Lincoln School-Based Health Center3 organizations share this tax ID, including this one
Part of
Lincoln School-Based Health Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1013145473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015527",
            "telephone_number": "301-600-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HILLCREST DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217031396",
            "telephone_number": "240-236-3275",
            "fax_number": "240-236-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST SCHOOL BASED HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF FREDERICK",
        "enumeration_date": "2009-06-24",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "RAMENTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-600-3955",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200175600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.