NPIMap

Organization Active NPI

Frederick County Hepatitis Clinic, Inc.

  • Clinic/Center
  • Frederick, MD
National Provider Identifier
1184764268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FREDERICK COUNTY HEPATITIS CLINIC, INC.
Practice address
350 Montevue LN
Frederick County Hepatitis Clinic
Frederick, MD 21702-8214
Phone
(300) 631-3343
Fax
(300) 631-3387
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Constance M. Callahan
Title
Executive Director
Phone
(301) 600-3343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

350 Montevue LN
Frederick County Hepatitis Clinic
Frederick, MD 21702-8214

Mailing address

350 Montevue LN
Frederick County Hepatitis Clinic
Frederick, MD 21702-8214
Phone (300) 631-3343

Other identifiers 3

IdentifierTypeStateIssuer
LS96OtherMDCAREFIRST BCBS
0102546MedicaidMD
30222OtherMDPRIORITY PARTNERS JHHC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184764268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "address_2": "FREDERICK COUNTY HEPATITIS CLINIC",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "300-631-3343",
            "fax_number": "300-631-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MONTEVUE LN",
            "address_2": "FREDERICK COUNTY HEPATITIS CLINIC",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028214",
            "telephone_number": "300-631-3343",
            "fax_number": "300-631-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK COUNTY HEPATITIS CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-600-3343",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "LS96",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102546",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY PARTNERS JHHC",
            "identifier": "30222",
            "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 Aug 22, 2020; 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.