NPIMap

Organization Active NPI

Walnut Street Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hagerstown, MD
National Provider Identifier
1235498122
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WALNUT STREET COMMUNITY HEALTH CENTER, INC.
Practice address
328 N Potomac St
Hagerstown, MD 21740-3820
Phone
(301) 745-3777
Fax
(301) 733-5731
NPI assigned
May 11, 2012
Organization subpart
Yes
Parent organization
1366425266As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Mrs. Kimberly Z. Murdaugh
Title
Executive Director
Phone
(301) 745-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

328 N Potomac St
Hagerstown, MD 21740-3820

Mailing address

201 S Cleveland Ave
Hagerstown, MD 21740-5745
Phone (301) 745-3777

National Provider Directory

National Provider Directory
Part of
Walnut St Comm HLTH Ctr Inc

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1235498122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S CLEVELAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405745",
            "telephone_number": "301-745-3777",
            "fax_number": "301-733-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N POTOMAC ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217403820",
            "telephone_number": "301-745-3777",
            "fax_number": "301-733-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT STREET COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "1366425266",
        "enumeration_date": "2012-05-11",
        "last_updated": "2022-04-07",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "MURDAUGH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-745-3777",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.